PNU 120 Taylor PrepU Chapter 34 - Rest
and Sleep Test With Solution
The client is to undergo a polysomnography in order to confirm whether or
not the client has obstructive sleep apnea. The nurse informs the client that: -
ANWER expect to sleep overnight in a health care facility.
The nurse is evaluating a client who has sleep disorders. The first sleep
assessment would be to: - ANWER note the hours of sleep by the client and
analyze the client's sleep diary.
An 82-year-old client is newly admitted to an assisted living facility. Which
intervention promotes safety at night for the client? ANSWER using a night
light in the bathroom
A client with difficulty sleeping is prescribed ramelteon. The client asks the
nurse, "How does this medicine work?" Which information would the nurse
include in the response? ANSWER Activates the receptors for the hormone
melatonin
Which assessment finding(s) confirms or suggests that the client is in REM
sleep? (Select all that apply.) ANSWER Blood pressure and pulse rate have
wide fluctuations and surge rapidly. The client is paralyzed- unable to move.
Deep tendon reflexes are decreased. Muscles are flaccid, but muscle tone is
preserved.
A client explains to the nurse during a sleep assessment that it takes her
more than 60 minutes to get to sleep. The nurse documents this duration as
the client's: - ANSWER sleep latency.
, Which activity would be appropriate to suggest that the client who reports
difficulty falling asleep every night? - ANSWER Eat some crackers with
peanut butter at bedtime.
The nurse is promoting bedtime routines with a family. Which comment
indicates the nurse will have to provide additional teaching to the mother? -
ANSWER "My boys love to roughhouse in their room right before bedtime."
A nurse identifies that a client who has been admitted to a long-term care
facility sleeps an inordinate amount. After a review of sleep disorders, the
nurse identifies that what portion of this client's brain may have sustained
damage? - ANSWER Hypothalamus
Which part needs more sleep in the teen-aged population? - ANSWER rapid
growth
A nurse is caring for a client with restless leg syndrome who reports
sleeplessness. Which nursing diagnosis is most appropriate for this client? -
ANSR Sleep Deprivation
A nurse is reviewing the medication administration record. Which order does
the nurse question? - ANSR a diuretic administered twice daily at 9 a.m. and 9
p.m.
The nurse is caring for a client who reports that he cannot sleep. Which
teaching by the nurse would promote sleep hygiene? - ANSWER Provide
appropriate exposure to sunlight natural light during the day.
A nurse is caring for a client who has been diagnosed with a disturbed sleep
pattern. Which interventions should the nurse participate in to promote
sleep? Select all that apply. - ANSWER Encouraging exercises during the day
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