ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 9 Questions
Question 1 of 5
Which action is best for the nurse to include in the plan of care in order to improve sleep quality for a critically ill patient in the intensive care unit (ICU)?
Correct Answer: B
Rationale: Lowering the level of light will help mimic normal day/night patterns and maximize the opportunity for sleep. Although frequent assessments and opioid use can disturb sleep patterns, these actions are necessary for the care of critically ill patients. For some patients, having a family member or friend at the bedside may decrease anxiety and improve sleep.
Question 2 of 5
Which of these actions should the nurse take first for a patient in the clinic who is complaining of insomnia and daytime fatigue?
Correct Answer: A
Rationale: The nurse's first action should be assessment of the patient for factors that may contribute to poor sleep quality or daytime fatigue such as the use of OTC medications. The other actions may be appropriate, but assessment is needed first to choose appropriate interventions to improve the patient's sleep.
Question 3 of 5
The nurse is caring for a patient in the ambulatory care setting who has chronic insomnia. Which of the following interventions should the nurse do initially?
Correct Answer: C
Rationale: The diagnosis of insomnia is made on the basis of subjective complaints and an evaluation of a 1- to 2-week sleep diary completed by the patient. Actigraphy and PSG studies/sleep studies may be used for determining specific sleep disorders, but are not necessary to make an initial insomnia diagnosis.
Question 4 of 5
The nurse is providing a health-promotion session to young adults who have difficulty sleeping at night and has instructed them to limit their caffeine intake. Which of the following beverages have 50 mg or more of caffeine?
Correct Answer: D,E
Rationale: Brewed coffee has 135 mg caffeine and black tea, either leaf or bag, has 50 mg of caffeine. Green tea has 30 mg, chocolate cake has 36 mg, and Dr. Pepper soda has 41 mg.
Question 5 of 5
A patient with sleep apnea who received a new prescription for a continuous positive airway pressure (CPAP) device a week ago returns to a clinic and says that severe daytime fatigue is still a problem. Which action should the nurse take first?
Correct Answer: C
Rationale: CPAP is very effective in reducing sleep apnea, but patient adherence is frequently a problem. Surgery, radiofrequency ablation, or a follow-up PSG study may be indicated, but the nurse's first action should be to assess whether the CPAP is being used as prescribed.