Author Question: The nurse and a client are discussing the importance of an effective 24-hour sleep cycle. Which of ... (Read 53 times)

tiffannnnyyyyyy · **on:** Jul 23, 2018

The nurse and a client are discussing the importance of an effective 24-hour sleep cycle. Which of the following responses by the client may be a direct result of an inadequate sleep pattern? (Select all that apply.)

1. Gaining weight
2. Usually feeling cold
3. Always feeling tired
4. A heart that beats really fast
5. Often feeling blue or depressed
6. Feeling dizzy when getting up from a chair

Question 2

A 25-year-old client's wife complains to the nurse that he sleepwalks during the night. The nurse knows that this behavior normally occurs in which stage of sleep?

1. Stage 2: NREM
2. Stage 3: NREM
3. Stage 4: NREM
4. REM

juicepod · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 2, 3, 4, 5, 6
The predictable changing of body temperature, heart rate, blood pressure, hormone secretion, sensory acuity, and mood depend on the maintenance of the 24-hour circadian cycle. Weight gain is not typically a result of poor sleep patterns.

Answer to Question 2

ANS: 3
Stage 4 NREM sleep is the deepest stage of sleep. It is very difficult to arouse the sleeper. If sleep loss has occurred, the sleeper will spend a considerable portion of the night in this stage. Vital signs are significantly lower than during waking hours. The stage lasts approximately 15 to 30 minutes. Sleepwalking and enuresis (bed-wetting) sometimes occur. Stage 2 NREM is a peri-od of sound sleep. Stage 3 NREM involves initial stages of deep sleep. REM sleep involves viv-id, full-color dreaming. Loss of skeletal muscle tone occurs. It is very difficult to arouse the sleeper. Less vivid dreaming occurs in other stages. The stage is typified by autonomic response of rapidly moving eyes, fluctuating heart and respiratory rates, and increased or fluctuating blood pressure.