FUNDAMENTALS: PATIENT CARE REVIEW NR226
EXAM 2: ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ACCURATE
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Terms in this set (91)
-Drugs/substances
-Lifestyle (night shift, studying at night)
-Usual sleep patterns (average sleep amount in US
What are some of the has decreased in last century)
factors affecting sleep? -Emotional stress
-Environment
-Exercise/fatigue
-Food/caloric intake
-obesity
-neck circumference (thicker necks = narrower
airways, which is also a risk factor)
Sleep apnea risk factors -being male
-fam history
-being older
-use of alcohol, sedatives, tranquilizers, smoking
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,5/3/25, 7:23 AM FUNDAMENTALS: PATIENT CARE REVIEW NR226 EXAM 2: ACTUAL EXAM COMPREHENSIVE QUESTIONS AND VERIFIED A…
-Hypertension
-Stroke
-Heart failure
Sleep apnea safety
-Arrhythmias, MI
concerns
-Diabetes
-Depression
-Worsening of ADHD/headaches
-causes about 25% of all motor accidents in US
-increased risk for anxiety/depression
Narcolepsy safety
-heightened risk for sleep walking
concerns
-lowers quality of life and heightens risk for work
related injury
-Environmental Controls: comfortable room
temp/ventilation, minimal noise,
-sleep-wake pattern
-maintain reg bedtime/wake schedule
-eliminate naps/limit them to 20 min
-go to bed when sleepy
Interventions that promote
Medications
sleep
-only use sedatives/hypnotics as a last resort
-adjust meds being taken for other things
Diet
-limit alcohol, caffeine/nicotine late in day
-consume carbs/milk b4 bed
-decrease fluids 2-4 hrs before
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, 5/3/25, 7:23 AM FUNDAMENTALS: PATIENT CARE REVIEW NR226 EXAM 2: ACTUAL EXAM COMPREHENSIVE QUESTIONS AND VERIFIED A…
CPAP: (continuous positive
airway pressure) machine works
by blowing air into the throat via
a mask, subtly increasing air
pressure in the throat and
How can sleep apnea be
preventing the airway from
reduced
narrowing.
-supplemental O2
-Adaptive servo-ventilation
(ASV)
I don't know what this question is asking really but yes.
The client's sleep-wake If that is the case, adjust care to suit patient's sleep
cycle preference is late preference (schedule meals, medications around the
evening. could be normal times that he would like and apply the above sleep-
promoting interventions)
client with narcolepsy should avoid factors that
increase drowsiness such as:
What should a client avoid Alcohol
with narcolepsy? Heavy meals
Exhausting activities
Long-distance driving
Long periods of sitting in hot, stuffy rooms
Irritability
Fatigue
S/S sleep deprivation Mood changes
Difficulty focusing and remembering
REduced sex drive
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