The nurse is completing an assessment of the client's sleep ...

[bcretired]

The nurse is completing an assessment of the client's sleep patterns. A specific question that the nurse should ask to determine the potential presence of sleep apnea is:
 
  1. How easily do you fall asleep?
  2. Do you have vivid, lifelike dreams?
  3. Do you ever experience loss of muscle control or falling?
  4. Do you snore loudly or experience headaches?

Question 2

It is determined that the client will need pharmacological treatment to assist with the client's sleep patterns. The nurse anticipates that treatment with an anxiety-reducing, relaxa-tion-promoting medication will include the use of:
 
  1. Barbiturates
  2. Amphetamines
  3. Benzodiazepines
  4. Tricyclic antidepressants

[bdobbins]

Answer to Question 1

ANS: 4
To assess for sleep apnea (unlike assessing for narcolepsy or insomnia), the nurse may ask, Do you snore loudly? and Do you experience headaches after awakening? A positive response may indicate the client experiences sleep apnea.

Answer to Question 2

ANS: 3
The benzodiazepines cause relaxation, antianxiety, and hypnotic effects by facilitating the action of neurons in the central nervous system (CNS) that suppress responsiveness to stimulation, therefore decreasing levels of arousal. Withdrawal from CNS depressants, such as barbiturates, can cause insomnia and must be managed carefully. Barbiturates can cause tolerance and de-pendence. Central nervous system stimulants, such as amphetamines, should be used sparingly and under medical management. Amphetamine sulfate may be used to treat narcolepsy. Pro-longed use may cause drug dependence. Tricyclic antidepressants can cause insomnia when withdrawn and should be managed carefully. They are used primarily to treat depression.