The nurse is providing an educational session on sleep regulation ...

[Alainaaa8]

The nurse is providing an educational session on sleep regulation for new nurses in the Sleep Disorder Treatment Center. Which of these statements by the nurses would best indicate that learning has occurred?
 
  a. If the patient has a disease process in the central nervous system, it can influence the functions of sleep.
  b. If the patient has a disease process in the cranial nerves, it can influence the functions of sleep.
  c. If the patient has an interruption in the motor pathways, it can influence the functions of sleep.
  d. If the patient has an interruption in the spinal reflexes, it can influence the functions of sleep.

Question 2

The physician orders 4 mg of oxycodone to be delivered every 6 hours. After 4 hours, the patient is complaining that she is in more pain. The nurse advises the physician to make which medication adjustment?
 
  a. Add an additional narcotic on top of the oxycodone.
  b. Divide the dose in half and administer 2 mg every 3 hours.
  c. Give another 4 mg of oxycodone after 4 hours.
  d. Change the medication being administered for pain relief.

[manuelcastillo]

Answer to Question 1

A
Sleep involves a sequence of physiological states maintained by the central nervous system. Current theory indicates that it is an active multiphase process that involves many parts of the brain and hormone and chemical secretion. A disease process associated with the cranial nerves, motor pathway, or spinal reflexes may influence a person's ability to sleep, but the best answer is the central nervous system.

Answer to Question 2

B
The patient's metabolism causes the peak effect to occur when the medicine is at its highest concentration. After reaching its peak, the serum concentration of the medication falls progressively. By spreading out the dose, the patient should receive constant pain relief. Changing the medication, increasing the dose, or adding another medication is not the best course of action.