Author Question: A client takes hypnotics over 4 weeks. The client is informed by the nurse that long-term use may ... (Read 43 times)

wrbasek0 · **on:** Jul 23, 2018

A client takes hypnotics over 4 weeks. The client is informed by the nurse that long-term use may lead to rapid eye movement (REM) rebound. The nurse defines REM rebound for the client as:

a. the return of dreaming to normal levels using prolonged hypnotic therapy.
b. the suppression of dreaming in clients taking hypnotics.
c. nightmares or vivid dreaming when the hypnotic is stopped after prolonged use.
d. the decreased efficacy that occurs after 2 weeks of hypnotic use.

Question 2

A nurse is teaching a client measures to help relieve sleeplessness. Which would be the highest priority teaching point during the instructional session?

a. Avoid caffeine-containing beverages before sleep.
b. Perform strenuous exercise before bedtime.
c. Drink lots of fluids before bedtime.
d. Eat a heavy meal before bedtime.

robbielu01 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
REM rebound may occur after using hypnotics for 3 to 4 weeks and may be manifested with vivid dreams and nightmares.

Answer to Question 2

ANS: A
Sleep is likely to be induced by the avoidance of beverages containing caffeine before sleep.