CCC1 exam #1 Questions and Correct
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insomnia
Ans: difficulty in getting to sleep or staying asleep at night
Insomnia: Risk Factors/Contributing Factors
Ans: Transient insomnia may be caused by stress, excitement, or a
change in sleeping arrangements, as occurs when traveling. Restless leg
syndrome may awaken the patient frequently, with a persistent need to
move the legs. The sleep pattern usually normalizes as the life situation
settles back to routine.
Chronic insomnia may be the result of an underlying medical, behavioral,
or psychiatric problem. Depression can often cause insomnia. People
suffering from chronic insomnia may require treatment from a health care
provider specializing in sleep disorders
nursing interventions for insomnia
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Ans: Conduct a thorough history of any sleep-related problems the
patient has had. Discuss any current illness or injury in relation to comfort
and disruption of sleep.
Encourage patients with sleep difficulties to keep a sleep diary. They
should record the time they went to bed, when they woke up, and any
time they awoke during the night; usual diet; and all medications and
supplements taken, including sleep aids. They should also include
information about where they sleep and anything that disturbs sleep, such
as neighborhood noise, a snoring partner, wakeful children, or pets.
· What actions should the nurse take to reduce sleep disruptions
during hospitalization?
Ans: Do not wake patients unless absolutely necessary. Cluster
procedures such as vital signs and dressing changes to avoid waking a
patient repeatedly. If possible, close the patient's door and avoid talking
in the hallway during the night hours.
Narcolepsy
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Ans: sudden onset, recurrent, uncontrollable, brief episodes of sleep
during normal hours of wakefulness in a well-rested person. "sleep attacks"
sleep apnea
Ans: condition in which the person stops breathing for brief periods
during sleep
bulimia nervosa
Ans: an eating disorder characterized by episodic binge eating, followed
by behaviors designed to prevent weight gain, including purging, fasting,
using laxatives, and exercising excessively.
dysphagia
Ans: difficulty swallowing
aspiration
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Ans: means to draw in or out using a sucking motion. those with impaired
swallowing, depressed gag reflex, or decreased level of consciousness
are at risk
What is the most common source of noise in the hospital?
Ans: alarms
nocturia
Ans: urinating during the night
What education should be included for a patient with disrupted
sleep r/t nocturia
Ans: reduce fluid intake before bed
What is the most common complaint among hospitalized patients
Ans: noise