A nursing supervisor in the long-term care facility implements ...

[newyorker26]

A nursing supervisor in the long-term care facility implements changes to improve environmental conditions. Which of the following should be included in these changes? (Select all that apply.)
 
  A) Assist residents to bed at 7 PM each day.
  B) Build partitions between roommates.
  C) Install low-level night lights in the bathrooms.
  D) Replace light bulbs with low light energy efficient bulbs.
  E) Set thermostat at 72 each night.

Question 2

A 64-year-old obese man is admitted to the hospital for treatment of heart failure secondary to alcoholism. For which of the following negative consequences should the nurse assess?
 
  A) Chronic pain
  B) Obstructive sleep apnea
  C) Parkinson disease
  D) RLS

[coyin]

Answer to Question 1

Ans: B, C, E
More time in bed does not mean more time sleeping. Partitions can increase the sleeping privacy of residents; bright lights at night interfere with sleep but are helpful during the day. Temperature that is too hot or too cold interferes with sleep.

Answer to Question 2

Ans: B
Factors associated with increased risk for obstructive sleep apnea include obesity, diabetes, stroke, Parkinson disease, congestive heart failure, genetic predisposition, craniofacial anatomic features, and the use of alcohol or medications that depress the respiratory center.