Question 1

Mrs.Flacco takes the occasional sleeping aid to help her get the rest she needs.She has taken something twice in the last month.Which of the following should Mrs.Flacco consider before taking a sleeping aid tonight?

Accepted Answer

Mrs. Flacco should consider that she will be driving a school bus first thing in the morning before taking a sleeping aid. It is important to ensure that she is not impaired and can safely perform her responsibilities as a school bus driver.

Question 2

Mrs.Blakely is an occupational health nurse who is employed by the local health authority.She is heading a special project on reducing environmental stimuli in hospitals to promote rest and sleep for patients.She is visiting all the hospitals to check on the progress policy changes have made.Which of the following findings would indicate to Mrs.Blakely that an organization may need further guidance on policy changes?

Accepted Answer

Overhead lighting evident in all corridors and rooms indicates that the policy change of reducing environmental stimuli to promote rest and sleep for patients may not have been implemented properly, and further guidance may be necessary. The other three options are positive changes that indicate progress in implementing the policy change.

Question 3

Mr.Jose is admitted for back surgery and brings his CPAP unit with him.What should the nurse's response be?

Accepted Answer

The nurse should assist Mr. Jose to use his CPAP unit as he would at home to ensure that he gets the necessary treatment for his sleep apnea while in the hospital.

Question 4

Ms.Ayres is attending a sleep clinic for the first time.She has complaints of fatigue and inability to sleep at night.Which of the following tools would be used early in the assessment of Ms.Ayres sleep and rest patterns?

Accepted Answer

A sleep diary would be the best choice for early assessment of Ms.Ayres sleep and rest patterns as it involves recording her sleeping habits, such as the amount and quality of sleep, as well as any disturbances or disruptions during the night. The other options listed (electrooculogram, polysomnography, and electroencephalogram) may be used in a more comprehensive sleep study, but are not typically the first tool used for initial assessment.

Question 5

Mrs.Ellen has begun a fitness program in an effort to lose weight and achieve a healthier lifestyle.Since doing so,she has had difficulty falling asleep.What suggestions could the nurse offer Mrs.Ellen that may improve her sleep and rest patterns?

Accepted Answer

Exercising moderately in the morning or early afternoon can help regulate the body's sleep-wake cycle and improve sleep quality. Options A and B are not effective or safe solutions, and option D can actually disrupt sleep.

Question 6

During her sleep diagnostics,Ms.Ayres was noted to have two periods of apnea within the first hour,lasting around 10 seconds.Based on this finding,what would the nurse's actions include?

Accepted Answer

The nurse should continue to monitor Ms. Ayres to collect additional data and identify any patterns or trends in her sleep. While apnea is a concern, two short episodes may not warrant immediate intervention such as CPAP treatment or emergency airway equipment. A polysomnography may be indicated for further evaluation, but is not necessarily needed at this time.

Question 7

Mr.Wesley has been receiving morphine around the clock for post-operative pain.What is the effect of opioids on sleep?

Accepted Answer

Opioids, such as morphine, are known to decrease REM sleep and increase NREM sleep. This effect can ultimately impair the quality of sleep and lead to daytime sleepiness or fatigue.

Question 8

Ms.Ayres is to have some diagnostic tests related to sleep.Which diagnostic test will provide the health care team with the best information?

Accepted Answer

Polysomnography is the most comprehensive diagnostic test for sleep disorders as it records various parameters during sleep, such as brain waves, muscle activity, eye movements, and heart rhythm. This provides the health care team with detailed information about the patient's sleep and identifies any abnormalities, allowing for a more accurate diagnosis and treatment plan.

Quiz 38: Sleep