Eliopoulos - Gerontological Nursing 8th Ed - Rest and Sleep, Sleep and Rest Questions And Answers
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Eliopoulos - Gerontological Nursing 8th Ed -
Rest and Sleep, Sleep and Rest Questions
And Answers
An older patient hospitalized for pneumonia is having difficulty sleeping and is frustrated with
the noises at night. What should the nurse do about this situation?
A) Obtain an order for a benz...
Eliopoulos - Gerontological Nursing 8th Ed -
Rest and Sleep, Sleep and Rest Questions
And Answers
An older patient hospitalized for pneumonia is having difficulty sleeping and is frustrated with
the noises at night. What should the nurse do about this situation?
A) Obtain an order for a benzodiazepine to be taken at bedtime
B) Change the temperature of the client's room to be more conducive to sleep
C) Provide a form of white noise and plan to minimize noise during caregiving activities
D) Teach the client about the normal changes in sleep quality and quantity that accompany aging
Ans: C
Feedback:Reorganizing care to avoid awakening and providing white noise can facilitate sleep.
These actions would be preferable to pharmacologic measures while changing the temperature
does not specifically address the patient's concerns. Teaching on sleep changes would be
inappropriate given the nature and context of the patient's concerns.
An older patient is experiencing restless legs that are interfering with sleep. What should the
nurse respond to this patient's problem?
A) "Some people find that daily exercise helps with this problem."
B) "Most often restless legs can be traced to a deficiency in dietary calcium."
C) "There are prescription drugs that nearly always provide relief from this problem."
, Eliopoulos - Gerontological Nursing 8th Ed -
Rest and Sleep, Sleep and Rest Questions
And Answers
D) "There are a number of different medications that can cause this problem or make it worse."
Ans: D
Feedback:Antidepressants, antihistamines, antipsychotics, alcohol, caffeine, hypoglycemia, and
simple and refined carbohydrates can contribute to restless legs syndrome. Exercise and
medications are not noted to provide a solution and calcium is not noted to be implicated in the
etiology.
An older patient complains of overwhelming daytime fatigue, which the spouse attributes to loud
snoring and erratic breathing patterns during the night. Which health problem should the nurse
suspect as causing this patient's fatigue?
A) Insomnia
B) Central sleep apnea
C) Nocturnal myoclonus
D) Obstructive sleep apnea Ans: D
Feedback:Obstructive sleep apnea is characterized by periods without breathing during sleep and
is most often accompanied by snoring. Central sleep apnea is not as frequently marked by
snoring and neither insomnia nor nocturnal myoclonus is suggested by the patient's particular
signs and symptoms.
, Eliopoulos - Gerontological Nursing 8th Ed -
Rest and Sleep, Sleep and Rest Questions
And Answers
Which patient on a geriatric medicine unit would the nurse recognize as being most prone to
sleep problems?
A) An obese female patient receiving IV antibiotics for the treatment of a urinary tract infection
B) A 74-year-old female receiving transfusions of packed red blood cells for an upper GI bleed
C) A 78-year-old male recovering from an ischemic stroke and has skin breakdown on the
coccyx
D) A male patient admitted for exacerbation of chronic obstructive pulmonary disease (COPD)
with a history of angina Ans: D
Feedback:COPD and conditions involving cardiac ischemia are often associated with sleep
problems. Infections, ischemic stroke, skin breakdown, and GI bleeds are not noted to be
specifically associated with sleep difficulties.
An older patient with multiple health problems asks the nurse for advice about recurrent
insomnia. Which statement made by the nurse is most accurate?
A) "Caffeine obviously makes it hard for you to sleep, while a moderate amount of alcohol at
bedtime is useful."
B) "You should try over-the-counter sleep aides for several weeks before you move on to
prescription options."
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