NR 226 Chapter 43 -Questions with Correct Answers/ Verified/ 100% Pass The nurse is caring for a young -adult patient on the medical -surgical unit. When doing midnight checks, the nurse observes the patient awake, putting a puzzle together. Which information will the nurse consider to best explain this finding? a. The patient misses family and is lonely. b. The patient was waiting to talk with the nurse. c. The patient has been kept up with the noise on the unit. d. The patient's sleep -wake cycle preference is late evening - ✔✔d. The patient's sleep -wake cycle preference is late evening The nurse is providing an educational session on sleep regulation for new nurses in the Sleep Disorder Treatment Center. Which statement by the nurses will best indicate that the teaching is effective? a. "If the patient has a disease process in the central nervous system, it can influence the functions of sleep." b. "If the patient has a disease process in the cranial nerves, it can influence the functions of sleep." c. "If the patient has an interruption in the urinary path ways, it can influence the functions of sleep." d. "If the patient has an interruption in the spinal reflexes, it can influence the functions of sleep." - ✔✔a. "If the patient has a disease process in the central nervous system, it can influence the funct ions of sleep." The nurse is caring for a patient who reports having trouble sleeping. Which action will the nurse take? a. Suggest snug -fitting nightwear. b. Provide a favorite beverage. c. Encourage deep breathing. d. Walk with the patient - ✔✔c. En courage deep breathing. The nurse is caring for a patient in the sleep lab. Which assessment finding indicates to the nurse that the patient is in stage 4 NREM? a. The patient awakens easily. b. The patient's eyes rapidly move. c. The patient is diffic ult to awaken. d. The patient's vital signs are elevated - ✔✔c. The patient is difficult to awaken. A nurse is teaching the staff about the sleep cycle. Which sequence will the nurse include in the teaching session? a. NREM Stage 1, 2, 3, 4, REM b. NRE M Stage 1, 2, 3, 4, 3, 2, 1, REM c. NREM Stage 1, 2, 3, 4, REM, 4, 3, 2 REM d. NREM Stage 1, 2, 3, 4, 3, 2, REM - ✔✔d. NREM Stage 1, 2, 3, 4, 3, 2, REM Which nursing observation of the patient in intensive care indicates the patient is sleeping comfortably during NREM sleep? a. Eyes closed, lying quietly, respirations 12, heart rate 60 b. Eyes closed, tossing in bed, respirations 18, heart rate 80 c. Eyes closed, mumbling to self, respirations 16, heart rate 68 d. Eyes closed, lying supine in bed, respirations 22, heart rate 66 - ✔✔a. Eyes closed, lying quietly, respirations 12, heart rate 60 The nurse is teaching a new mother about the sleep requirem ents of a neonate. Which comment by the patient indicates a correct understanding of the teaching? a. "I can't wait to get the baby home to play with the brothers and sisters." b. "I will ask my mom to come after the first week, when the baby is more ale rt." c. "I can get the baby on a sleeping schedule the first week while my mom is here." d. "I won't be able to nap during the day because the baby will be awake." - ✔✔b. "I will ask my mom to come after the first week, when the baby is more alert." The nurse is discussing lack of sleep with a middle -aged adult. Which area should the nurse most likely assess to determine a possible cause of the lack of sleep? a. Anxiety b. Loud teenagers c. Caring for pets
