Author Question: The nurse is caring for a client who is about to be discharged from the hospital. The client asks ... (Read 92 times)

tatyanajohnson · **on:** Jun 25, 2018

The nurse is caring for a client who is about to be discharged from the hospital. The client asks the nurse for suggestions on how to improve the quality of sleep in order to wake feeling refreshed in the morning.

After reviewing the client's medical history, which suggestions by the nurse are appropriate?
Select all that apply.
A) Limiting the use of alcohol to early in the evening
B) Having a cup of tea before bed in order to enhance relaxation
C) Adjusting the room temperature to a comfortable level for sleep
D) Changing the time of aerobic exercise to 1 hour prior to sleep
E) Limiting cigarette smoking before bedtime

Question 2

A parent of an adolescent client expressed concern to the nurse regarding the adolescent's sleeping habits. The parent states that the client wants to sleep all the time.

The nurse believes that the adolescent is experiencing sleep deprivation. During the assessment, which clinical manifestations support this diagnosis? Select all that apply.
A) Consumption of caffeinated soda
B) Difficulty waking in the morning for school
C) Irritability and anxiety, especially on days with less sleep
D) Trouble initiating or persisting in projects, such as school assignments
E) Refusal to participate in sport activities

SVictor · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A, C, E

Alcohol interferes with REM sleep, and its consumption should be limited to well before bedtime. A comfortable room temperature will promote sleep. Nicotine is a stimulant and may prevent the client from falling asleep. Exercise close to bedtime acts as a stimulant and can cause the client to be unable to sleep. Tea contains caffeine, which is a stimulant. The nurse could suggest non-caffeinated tea before bedtime unless this causes the client to wake during the night to urinate.

Answer to Question 2

Answer: A, B, C, D

High caffeine consumption is associated with a variety of teen health issues like insomnia, which can lead to sleep deprivation. Sleep deprivation may cause the adolescent to have trouble waking in the morning for school. Other symptoms include irritability, anxiety, and problems associated with attention, memory, and decision making. Sports participation is not correlated to sleep deprivation.