Chapter 43. Sleep and the Nursing Process EAQ Latest Update 2023

Which priority nursing intervention does the nurse incorporate into a plan of care to promote sleep for a hospitalized patient? 1 Have patient follow hospital routines. 2 Avoid awakening patient for nonessential tasks. 3 Give prescribed sleeping medications at dinner. 4 Turn television on low to late-night programming - ANS-2 Avoiding awakening the patient for nonessential tasks promotes sleep. Cluster activities and allow the patient time to sleep. Do not perform tasks such as laboratory draws and bathing during the night unless essential. Patients should try to follow home routines related to sleep habits. The other tasks do not promote sleep. Which statement made by an older adult best demonstrates understanding regarding taking a sleep medication? 1 "I'll take the sleep medicine for 4 or 5 weeks until my sleep problems disappear." 2 "Sleep medicines won't cause any sleep problems once I stop taking them." 3 "I'll talk to my health care provider before I use an over-the-counter sleep medication." 4 "I'll contact my health care provider if I feel extremely sleepy in the mornings." - ANS-3 By stating that he or she will consult a health care provider before using an over-thecounter sleep medication, the older adult shows an understanding of the risks of overthe-counter sleep medications. The use of nonprescription sleep medications is not advisable. Over the long term, these drugs lead to further sleep disruption, even when they initially seemed to be effective. Caution older adults about using over-the-counter antihistamines because of their long duration of action, which can cause confusion, constipation, urinary retention, and an increased risk of falls. Which statement made by a mother being discharged to home with her newborn infant indicates a need for further teaching? 1 "I won't put the baby to bed with a bottle." 2 "For the first few weeks we're putting the cradle in our room." 3 "My grandmother told me that babies sleep better on their stomachs." 4 "I know I'll have to get up during the night to feed the baby when he wakes up." - ANS-3 "My grandmother told me that babies sleep better on their stomachs" indicates that the mother needs further teaching. She needs to be educated on the back-to-bed concept for infant sleeping. Parents should place infants on their backs to prevent suffocation and decrease the risk of sudden infant death syndrome (SIDS). What is the nurse least likely to ask parents while performing a sleep assessment of an infant? 1 To describe the infant's eating pattern 2 To describe the sleeping environment of the infant 3 To keep a sleep log of the infant's sleep behavior only at night 4 To evaluate the typical behavior patterns that foster or impair sleep - ANS-3 The nurse should ask the parents of an infant to keep a 24-hour log of their infant's waking and sleeping behavior for several days to determine the cause of the problem. The nurse should ask about the infant's eating pattern and sleep environment because these factors influence sleep behavior. The nurse should ask the parents to describe the typical behavior patterns that foster or impair sleep. Which nursing measure best promotes sleep in a school-age child? 1 Encourage evening exercise. 2 Offer a glass of hot chocolate before bedtime. 3 Make sure that the room is dark and quiet. 4 Use quiet activities consistently before bedtime - ANS-4 A bedtime routine (e.g., same hour for bedtime, snack, or quiet activity) used consistently helps young children avoid delaying sleep. Quiet activities such as reading stories, coloring, and allowing children to sit in a parent's lap while listening to music or a prayer are routines that are often associated with preparing for bed. Parents need to reinforce patterns of preparing for bedtime. The nurse works in a sleep clinic. The nurse understands that sleep medicines should be administered with caution in some patients. In which patient can benzodiazepines be given safely? CONTINUES...