A client shares with the nurse that My wife complains about my ...

[ENagel]

A client shares with the nurse that My wife complains about my snoring, and I never really feel rested. Which of the following responses best attempts to explain the cause of the problem to the client?
 
  1. Sleep disturbances can really affect all aspects of your life. How long have you been experiencing this problem?
  2. You need to get help to breathe more effortlessly at night so both you and your wife can get sufficient deep stage sleep.
  3. Something is interfering with your ability to breathe while you are asleep. Have you talked with your health care provider about the problem?
  4. Your upper airway is blocked, and that is making it difficult for you to breathe effectively, so you are spending most of the night in the light sleep stage.

Question 2

Which of the following clients is most likely to experience difficulty returning to sleep?
 
  1. A 60-year-old with benign hypertropic prostatic disease
  2. A 15-year-old with type 1 diabetes
  3. A 35-year-old diagnosed with hypothyroidism
  4. A 55-year-old diagnosed with hypertension

[rekilledagain]

Answer to Question 1

ANS: 4
The upper airway becomes partially or completely blocked, and diminished nasal airflow (hy-popnea) can result for as long as 30 seconds. The person attempts to breathe, which often results in loud snoring and snorting sounds. The effort to breathe during sleep results in arousals from deep sleep, often to the stage 2 cycle, causing interference with deep sleep and thus the client's not feeling rested. The remaining options are not inappropriate, but they are not as directed at explaining the problem to the client.

Answer to Question 2

ANS: 1
Nocturia, or urination during the night, disrupts sleep and the sleep cycle. This condition is most common in older people with reduced bladder tone or persons with cardiac disease, diabetes, urethritis, or prostatic disease. After a person awakens repeatedly to urinate, returning to sleep is difficult. Although all the clients may have difficulty falling back to sleep when awakened, the answer represents the client with the greatest tendency to be awakened during the night.