Which recommendation would the nurse provide for a patient who reports insomnia

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Which recommendation would the nurse provide for a patient who reports insomnia

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A new mother calls the pediatric nurse to talk about her baby, who sleeps "all day long." The nurse informs the new mother that an infant requires how many hours of sleep? 14 to 20 hours each day
A nurse at the health care facility is caring for an older adult client who complains of sleeplessness. Which condition is a manifestation of depression in an older client? insomnia
A client begins snoring and is sleeping lightly. The stage of sleep is: stage 2
A nurse is caring for a client who has been diagnosed with a disturbed sleep pattern. Which measures should the nurse implement to promote sleep? Select all that apply. Providing a back massage Assisting with progressive relaxation Promoting daytime exercises
A nurse notes that a client admitted to a long-term care facility sleeps for an abnormally long time. After researching sleep disorders, the nurse learns that which area of this client’s brain may have suffered damage? hypothalamus
A nurse is visiting the home of a first-time mother and her newborn. The nurse is teaching the mother about the newborn's sleep needs. The nurse would inform the mother that newborns sleep approximately how many hours per day? 14 to 20 hours
Which physiologic change occurs during non-rapid eye movement (NREM) sleep? decreased brain activity from wakefulness
An 82-year-old client is newly admitted to an assisted living facility. Which intervention promotes safety at night for the client? using a night light in the bathroom
A client reports periodic difficulty falling asleep. Which teaching will the nurse provide? Select all that apply. Adhere to a regular schedule for waking and going to sleep. Go on a daily walk. Decrease caffeine intake.
The nurse is caring for a client who reports insomnia. The client has recently moved from an area near a fire station in the inner city to the country. Which recommendation will the nurse make to facilitate sleep? Find a phone app that plays sounds of the city.
a nurse in a long-term care facility has administered a sedative hypnotic to a client who complains of insomnia. The client does not seem to be responding to the drug and is now lying awake at night. What is the most likely explanation? Most sedative hypnotics lose their effect after 1 or 2 two weeks of administration.
A maternity nurse is instructing new parents on the proper sleeping position for their newborn child. In what position does the nurse instruct the parents to place the infant? Supine position
A client has been in the hospital for the past 10 days following the development of an infection at her surgical incision site. reports overwhelming fatigue and has told the nurse, "I just can't manage to get any sleep around here." nurse first respond? Assess the factors that the client believes contribute to the problem.
A nurse is caring for a client with restless leg syndrome who complains of sleeplessness. Which nursing diagnosis is most appropriate for this client? Sleep Deprivation
A nurse is caring for a client diagnosed with sleep apnea. Which nursing diagnosis should the nurse include in her nursing care plan? Impaired Gas Exchange
The nurse is caring for new parents. During her education session, the nurse instructs the parents on a newborn's sleep patterns. Which statement is accurate about a newborn's sleep patterns? Newborns sleep 16 to 17 hours per day.
The student nurse is providing an education program for preschool parents. The nursing student should include which intervention to improve the child's sleep? The child should limit fluids after supper.
The nurse is preparing a care plan for a client recently diagnosed with obstructive sleep apnea. The client reports daytime sleepiness, fatigue, and excessive snoring that "wakes me up." What is the nursing diagnosis Disturbed Sleep Pattern related to periods of apnea as evidenced by excessive snoring
Which activity would be appropriate to suggest to the client who reports having difficulty falling asleep every evening? Eat some crackers with peanut butter at bedtime
The nurse is promoting bedtime rituals with a family. Which statement indicates the nurse may need to provide further instructions to the mother? "My boys love to roughhouse in their room right before bedtime."
In Stage 4 sleep, the: pulse rate is slow
A newly admitted client states to the nurse, "I average about 5.5 hours of sleep per night." What determination of this client's sleep patterns does the nurse discuss with the client? They are sleep deprived to some degree.
The client is scheduled for a polysomnography to determine if the client has obstructive sleep apnea (OSA). The nurse instructs the client to: anticipate sleeping overnight at a health care center.
A nurse is discussing sleep with a group of orienting unlicensed personnel. The nurse explains that the older adults can have issues with physical safety in relation to the sleep patterns because: they may be disoriented on awakening.
The pediatric nurse teaches parents about normal sleep patterns in their children. Which education point should the nurse include? Inform parents that daytime napping decreases during the preschool period, and, by the age of 5 years, most children no longer nap.
The nurse is implementing comfort measures to promote sleep for a client. Which intervention is the best choice for the client? Offer client a small carbohydrate and protein snack before bedtime.
A new client in the medical–surgical unit complains of difficulty sleeping and is scheduled for an exploratory laparotomy in the morning. The nursing diagnosis is Sleep Pattern Disturbance: plan of care should be what? Provide an opportunity for the client to talk about concerns.
The nurse is educating a client and spouse about sudden jerking that occurs during sleep. What is the most appropriate nursing response? “Sudden twitches that occur during the early phases of sleep are common.”
A nurse is reviewing the medication administration record. Which order does the nurse question? a diuretic administered twice daily at 9 a.m. and 9 p.m.
Which factor necessitates the need for more sleep in the adolescent population? rapid growth
Parents tell the nurse that their 5-year-old is only sleeping 10 hours now and is refusing to take an afternoon nap. The nurse should teach the parents: "This is normal development for children in this age group."
The nurse is caring for a client who is having difficulty sleeping. Which medication does the nurse anticipate will be prescribed by the health care provider? temazepam
A client comes to the clinic and states to the nurse, "I am traveling overseas for a project frequently and am having a difficult time adjusting because of jet lag. What is the best response by the nurse? "Light therapy can be beneficial and help ease the transition to a new time schedule or zone."
A client is undergoing a sleep study and appears to be in the stage of rapid eye movement sleep. When assessing the client, which finding would the nurse correlate with this stage of sleep? Select all that apply. increased temperature increased respiratory rate
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? Activates the receptors for the hormone melatonin
Which statement about the sleep patterns of toddlers should the nurse incorporate into an education plan for parents? Getting the child to sleep can be difficult.
What factor has been hypothesized by researchers regarding current thoughts on sleep? Chronic sleep deprivation is present.
A client reports to the nurse, “Sleep really isn’t necessary.” Which teaching by the nurse is appropriate? Select all that apply. “Sleep helps your blood flow to the brain.” “Sleep helps you to learn easier and remember more.” “Sleep helps your immune system to fight off infections."
A client who previously was a smoker has recently stopped smoking but reports having much trouble sleeping at night. How would the nurse respond? “Sleep problems from stopping smoking are temporary.”
When a nurse notes that a sleeping client is demonstrating irregular respirations and is showing eye movement, the nurse identifies the stage of sleep the client is experiencing as: REM
The pediatric nurse teaches parents about normal sleep patterns in their children. Which education point should the nurse include? Inform parents that daytime napping decreases during the preschool period, and, by the age of 5 years, most children no longer nap.
Which interview question would be the best choice for the nurse to use to assess for recent changes in a client’s sleep–wakefulness pattern? Do you usually go to bed and wake up about the same time each day?
A client is worried and states, “I just know I won’t be able to sleep before my surgery.” What sleeping pattern would the nurse anticipate? The client will likely not be able to sleep.
A client states to the nurse during a sleep assessment that it takes her more than 60 minutes to fall asleep. The nurse documents this time period as the client's: sleep latency.
When the newly admitted client with chronic obstructive pulmonary disease informs the nurse that she frequently awakens during the night, the nurse may notify the physician for which intervention? Low-flow oxygen
The nurse is planning care for clients to aid in healing and recovery. Which activity is best to incorporate into a rest break? drinking an 8-oz cup of a caffeinated beverage
Which factor has the most influence on an individual's sleep-wake patterns? the inner biologic clock
A nurse working in a health clinic assesses sleep patterns during each health assessment. Based upon the nurse's knowledge regarding sleep needs, the nurse recognizes which age group as generally needing the least amount of sleep? older adults
The nurse identifies that a client is in stage 3 sleep. What assessment finding by the nurse is indicative of this stage? enuresis
A middle–age client reports to the nurse that he has difficulty falling asleep at night. The nurse assessed the client as having poor sleep hygiene habits. Which instruction does the nurse provide to the client? Select all that apply. Avoid activities after 5 p.m that are stimulating. Participate in a quiet activity, such as reading, prior to attempting to fall asleep.
The client being seen in the employee wellness clinic reports difficulty sleeping for the past several months. The most important assessment the nurse could make is: reviewing the client's sleep diary for the past 2 weeks.
The nurse is attempting to wake a client from sleep and is having a difficult time arousing them. What stage of sleep does the nurse identify the client is experiencing? REM sleep
The nurse is encouraging a client to begin and maintain a sleep diary. What statement made by the client indicates an understanding of the purpose of the diary? "I will record the time I go to bed and how long it takes me to fall asleep."
The nurse should obtain a sleep history on which clients as a protocol? all clients admitted to a health care agency

Which treatment would the nurse offer to a patient who has insomnia?

Taking a warm bath and consuming milk or a light snack before bedtime promote sleep. If the patient is unable to sleep after 15 to 30 minutes in bed, he should get out of bed and do some quiet activity until he feels sleepy. The nurse should instruct the patient to listen to soft music at bedtime.

What is the first line treatment of insomnia?

Cognitive behavioral therapy for insomnia (CBT-I) is the preferred first-line treatment for chronic insomnia in adults and has been endorsed as first-line therapy by multiple societies and guideline panels [1-5]. Overall, the evidence base is stronger for CBT-I than for medications.

What are some things to assess in a patient who complains of insomnia?

Three criteria must be met for a diagnosis of insomnia: complaint of trouble falling or staying asleep, adequate opportunity for sleep, and daytime dysfunction. If a patient reports trouble sleeping for the expected 7‐8 hours but does not have daytime consequences, he/she may be a short sleeper.

Which interventions should the nurse recommend for a client with sleep disturbances to promote sleep?

Here are seven sleep-promoting tips nurses must share to their clients:.
Relief for the Sleep-Challenged. ... .
Beating the Hours Before Bedtime. ... .
Setting Up a Sleep-Inviting Environment. ... .
Diet for Good Sleep. ... .
Promoting Comfort and Relaxation. ... .
Addressing Emotional Stress. ... .
Medication for Enhanced Sleep..