Author Question: Josh is an emergency department nurse who has just finished a double shift. Many of the nurses ... (Read 19 times)

bio_gurl · **on:** Jul 19, 2018

Josh is an emergency department nurse who has just finished a double shift. Many of the nurses scheduled to relieve Josh and his colleagues were unable to come to the hospital because of a snowstorm.

Josh will be relieved within the hour, but he is not sure he is alert enough to drive home, especially in blizzard conditions. The best action for Josh to take would be to:
A) Drive home slowly and carefully
B) Ask the emergency physician for a one-time dose of a stimulant to help him be alert enough to get home safely
C) Nap for a while in the nurses' lounge before leaving the hospital
D) Refuse to work any double shifts in the future

Question 2

A patient states that he has been treated for sleep apnea over the past year. You document this and note in the care plan that nurses should be aware of which of the following signs or symptoms?

A) Loud snoring or gasping while asleep
B) Calling out and moving excessively while asleep
C) Evidence of teeth grinding while asleep
D) Feeling agitated during the day

flannelavenger · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: C
Feedback:
Nurses and others who work shifts may benefit from avoiding working excessive double shifts, maintaining a 16-hour recovery period following a night shift, napping 15 to 30 minutes during breaks on the night shift, and sleeping before driving home from work.

Answer to Question 2

Ans: A
Feedback:
Obstructive sleep apneahypopnea syndrome (OSAHS) is associated with repetitive episodes of reduced airflow (hypopnea) or cessation of airflow (apnea) resulting from collapse of the upper airway. Clients with this condition experience sleep disruption and excessive daytime sleepiness. They typically snore loudly and may gasp or choke during sleep. Narcolepsy is characterized by excessive daytime sleepiness and associated with cataplexy (sudden bilateral loss of postural muscle tone) and other rapid eye movement (REM) sleep phenomena. Parasomnias include problems such as sleepwalking and tooth grinding.