Author Question: After an assessment, the nurse is concerned that an older client is experiencing changes in sleep. ... (Read 38 times)

Frost2351 · **on:** Jul 23, 2018

After an assessment, the nurse is concerned that an older client is experiencing changes in sleep. What findings did the nurse use to make this clinical decision?

1. Is wide awake around 3 AM
2. Takes a nap after lunch every day
3. Returns to sleep after using the bathroom
4. Goes to sleep before 9 PM most evenings
5. Wakes up and looks at the clock every hour

Question 2

A client who smokes cigarettes tells the nurse that sleep is light, and that he awakens easily. What should the nurse suggest to help this client with sleep?

1. Smoke no cigarettes 1 hour before sleep.
2. Smoke no cigarettes after the evening meal.
3. Limit the number of cigarettes smoked during the day.
4. Adjust to the lack of sleep, because those who smoke do not get sufficient sleep.

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

Answer to Question 1

Correct Answer: 1, 2, 4, 5

Rationale 1: A hallmark change with age is a tendency toward earlier wake times.

Rationale 2: Many older adults report daytime napping, which may contribute to reduced nocturnal sleep.

Rationale 3: Older adults have difficulty falling back to sleep after awakening.

Rationale 4: A hallmark change with age is a tendency toward earlier bedtime.

Rationale 5: Older adults may awaken an average of six times during the night.

Answer to Question 2

Correct Answer: 2
Rationale 1: Smoking up to 1 hour before sleep will be too much stimulation before sleep.
Rationale 2: Nicotine has a stimulating effect on the body, and smokers often have more difficulty falling asleep than nonsmokers do. Smokers are usually easily aroused, and often describe themselves as light sleepers. When refraining from smoking after the evening meal, the person usually sleeps better.
Rationale 3: Limiting the number of cigarettes smoked during the day will not impact the client's ability to sleep at night.
Rationale 4: The client can be instructed not to smoke after the evening meal, and should not be told to adjust to the lack of sleep, because those who smoke do not get sufficient sleep.