The nurse is caring for a client recently diagnosed with ...

[madam-professor]

The nurse is caring for a client recently diagnosed with schizophrenia. For which sleep issues is this client at risk because of this diagnosis?
 
  Select all that apply.
 
  A) Circadian cycle disruption
  B) Great difficulty getting to sleep
  C) REM rebound
  D) High nighttime levels of melatonin
  E) Reduced REM sleep

Question 2

A nurse is planning care for a client with sickle cell disease and chooses Acute Pain as the nursing diagnosis. Which intervention is inappropriate for the nurse to include in this plan of care?
 
  A) Administer ordered analgesic medications around the clock.
  B) Place patient in position of comfort.
  C) Use heat or cold packs as tolerated.
  D) Support the client's joints and extremities with pillows.

[owenfalvey]

Answer to Question 1

Answer: A, B, E

The client with schizophrenia may have circadian cycle disruption, reduced REM sleep, and difficulty getting to sleep. This client may also have low nighttime levels of melatonin. This client will not experience REM rebound.

Answer to Question 2

Answer: C

The client with sickle cell disease who is in a sickle cell crisis will likely have extreme pain. To aid in caring for this client, the nurse will administer ordered analgesic medications around the clock, place the patient in position of comfort, and support the client's joints and extremities with pillows. The use of heat or cold packs is contraindicated in the sickle cell client. Ischemic tissue is fragile and has reduced sensation, increasing the risk of burn injury from hot compresses, whereas cold compresses promote sickling.

[madam-professor]

TYSM

[Liddy]

Excellent