Author Question: The nurse is caring for a patient in the sleep lab. Which assessment finding indicates to the nurse ... (Read 128 times)

pragya sharda · **on:** Jul 22, 2018

The nurse is caring for a patient in the sleep lab. Which assessment finding indicates to the nurse that the patient is in stage 4 NREM?

a. The patient awakens easily.
b. The patient's eyes rapidly move.
c. The patient is difficult to awaken.
d. The patient's vital signs are elevated.

Question 2

The nurse is caring for a young-adult patient on the medical-surgical unit. When doing midnight checks, the nurse observes the patient awake, putting a puzzle together.

Which information will the nurse consider to best explain this finding?
a. The patient misses family and is lonely.
b. The patient was waiting to talk with the nurse.
c. The patient has been kept up with the noise on the unit.
d. The patient's sleep-wake cycle preference is late evening.

Andromeda18 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: C
The patient is difficult to arouse, vital signs are significantly lower, and this stage lasts about 15 to 30 minutes. Stage 4 NREM is the deepest stage of sleep. Lighter sleep is seen in stages 1 and 2, where the patient awakens easily. REM sleep is characterized by rapid eye movement.

Answer to Question 2

ANS: D
This patient is awake and alert enough to do a puzzle. The individual's sleep-wake preference is probably late evening. All persons have biological clocks that synchronize their sleep-wake cycle. This explains why some individuals fall asleep in the early evening, whereas others go to bed at midnight or early morning. Waiting to talk with the nurse, being lonely, and noise on the unit may contribute to lack of sleep, but the best explanation for the patient being awake is the biological clock.