Author Question: A patient complains of chronic insomnia and reports being tired of being tired all the time. The ... (Read 102 times)

BrownTown3 · **on:** Jul 23, 2018

A patient complains of chronic insomnia and reports being tired of being tired all the time. The patient is reluctant to try pharmacologic remedies and asks the nurse what to do. What will the nurse suggest?

a. Eat a large meal in the evening to induce drowsiness.
b. Get out of bed for a while if you can't fall asleep.
c. Have a glass of wine at bedtime to re-lax.
d. Take a short nap early in the afternoon every day.

Question 2

A patient who is having her sixth child has gone beyond term, and her labor is being induced with oxytocin Pitocin. The patient is having increased frequency, duration, and intensity of contractions.

The nurse will interrupt the oxytocin infusion if what occurs? a. Contractions occur every 2 to 3 minutes.
b. Individual contractions last 2 minutes.
c. Mild to moderate pain occurs with uterine contractions.
d. Resting intrauterine pressure is greater than 10 to 15 mm Hg.

paavo · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Rules for sleep fitness recommend getting out of bed if unable to fall asleep in 20 minutes and doing something relaxing and then returning to bed when drowsy. Eating a large meal will in-crease insomnia. Drinking alcohol helps some people to fall asleep but causes fragmented sleep. Taking a nap reduces feelings of drowsiness at bedtime.

Answer to Question 2

B
Induction of labor in patients of high parity (five or more pregnancies) carries a high risk of ute-rine rupture, and oxytocin should be used with great caution. Oxytocin infusions should be in-terrupted for contractions that last longer than 1 minute. Contractions that occur more often than every 2 to 3 minutes are a concern. Mild to moderate pain is normal with contractions. A resting intrauterine pressure greater than 15 to 20 mm Hg is a concern.