A client with a diagnosis of insomnia is surprised when his ...

[drink]

A client with a diagnosis of insomnia is surprised when his physician explains to him that his brain is still highly active during normal sleep.
 
  Which of the following statements best captures the character of brain activity during sleep?
  A)
  Fewer neurons in your brain are firing when you're asleep, but they're more synchronized than when you're awake.
  B)
  While you're obviously less aware of stimuli when you're asleep, your brain is actually more active when you're asleep than when you're awake.
  C)
  There are four types of brain activity, and actually all of them occur at different stages of sleep.
  D)
  Your brain alternates between periods of activity and periods of inactivity when you're asleep, and these correspond to your eye movement.

Question 2

During a procedure to remove impacted cerumen, the nurse should be assessing the patient for which of the following most critical complications?
 
  A)
  Excessive bleeding from the ear
  B)
  Pain related to instillation of warm fluids to soften the cerumen
  C)
  Symptomatic bradycardia from vagal nerve innervation
  D)
  Respiratory distress related to fluid entering bronchiole tubes

[ntsoane kedibone]

Answer to Question 1

Ans:
A

Feedback:

Brain activity during sleep is lessened but is more synchronous than during waking. The brain is not more active during sleep, and alpha and beta rhythms are not associated with sleep. The brain is never truly inactive during sleep.

Answer to Question 2

Ans:
C

Feedback:

Because the external auditory canal is innervated by the auricular branch of the vagus nerve, coughing or even cardiac deceleration can result from stimulation of the canal by cerumen impactions or removal attempts. Since this just involves irrigation using a bulb syringe and warm tap water, bleeding should not occur. Pain may occur but is not a critical complication. Since the fluid is going into the ear canal, there should be no fluid entering the respiratory system.

[drink]

Gracias!

[kjohnson]

TYSM