« previous next »

Author Question: A patient tells the nurse she takes Advil PM (ibuprofen plus diphenhydramine) every night for sleep ... (Read 77 times)

Shelles

  • Hero Member
  • *****
  • Posts: 582
on: Jul 19, 2018
A patient tells the nurse she takes Advil PM (ibuprofen plus diphenhydramine) every night for sleep along with the use of CPAP for sleep apnea. She states that lately she is feeling hung over in the morning. What is the best response by the nu
 
  1. Are you using the CPAP regularly the way it was ordered?
  2. That medication is not recommended for people with sleep apnea.
  3. That's a safe over-the-counter medication. What other meds do you take?
  4. I will let the physician know so that she can order a new sleep study for you.

Question 2

A patient admitted to the psychiatric-mental health unit tells the nurse she is having trouble sleeping because of all the commotion in the hospital. The patient adds that she does not normally have problems with sleep.
 
  What is the best statement by the nurse?
  1. You should go on a brisk walk right before bed.
  2. You should turn on the TV to mask the noises on the unit.
  3. I'll talk to the doctor and ask him to order you a sleeping pill.
  4. I will get you some ear plugs so that you won't hear as much noise at night.


nmyers

  • Sr. Member
  • ****
  • Posts: 336
Reply #1 on: Jul 19, 2018
Answer to Question 1

Answer: 2
Explanation: Diphenhydramine is contraindicated for patients with sleep apnea because it can increase severity of apnea and decrease the likelihood that the patient will awake with the apneic event. A new sleep study might be indicated at some point, but not as a first response. Diphenhydramine is not safe for this patient, and questioning the patient's adherence to treatment should not be the first response for this scenario.

Answer to Question 2

Answer: 4
Explanation: Because the patient does not have a history of insomnia, the noise of the unit is probably contributing to her sleeplessness. Addressing the noise with ear plugs is a reasonable first step. Medication is not the first option. Turning on a TV to mask other noise is not a good sleep hygiene practice. Exercise should be completed at least 3 hours before bed to prevent wakefulness.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

All adverse reactions are commonly charted in red ink in the patient's record and usually are noted on the front of the chart. Failure to follow correct documentation procedures may result in malpractice lawsuits.

Did you know?

Pope Sylvester II tried to introduce Arabic numbers into Europe between the years 999 and 1003, but their use did not catch on for a few more centuries, and Roman numerals continued to be the primary number system.

Did you know?

Never take aspirin without food because it is likely to irritate your stomach. Never give aspirin to children under age 12. Overdoses of aspirin have the potential to cause deafness.

Did you know?

Hippocrates noted that blood separates into four differently colored liquids when removed from the body and examined: a pure red liquid mixed with white liquid material with a yellow-colored froth at the top and a black substance that settles underneath; he named these the four humors (for blood, phlegm, yellow bile, and black bile).

Did you know?

According to the American College of Allergy, Asthma & Immunology, more than 50 million Americans have some kind of food allergy. Food allergies affect between 4 and 6% of children, and 4% of adults, according to the CDC. The most common food allergies include shellfish, peanuts, walnuts, fish, eggs, milk, and soy.

Measuring Patient Height Measuring Patient Height
The nurse applies a pulse oximeter sensor on the client’s finger. The nurse applies a pulse oximeter sensor on the client’s finger.
Cirrhosis. Cirrhosis is characterized by a chronic deterioration of the liver, replacing healthy cel Cirrhosis. Cirrhosis is characterized by a chronic deterioration of the liver, replacing healthy cel
A Typical Pattern of Sleep Stages During a Single Night A Typical Pattern of Sleep Stages During a Single Night
Role-Playing a Situation in Which a Patient Is Frightened, Angry, or Anxious Role-Playing a Situation in Which a Patient Is Frightened, Angry, or Anxious
Tumor marker analysis of a patient undergoing therapy, who (1) after surgery had residual disease ... Tumor marker analysis of a patient undergoing therapy, who (1) after surgery had residual disease ...
Video: Carbohydrate digestion - mouth and stomach & pancreas and small intestine

For a complete list of videos, visit our video library