When mild sedation has failed to solve the problem of insomnia in the older adult, the nurse suggests _____________________________
_. (Select all that apply.)
a. relaxation therapy.
b. taking a warm bath or shower prior to bedtime.
c. listening to relaxing music.
d. arranging the sleep environment to promote sleep.
e. going to bed at a regular time after observing routine sleep rituals.
Question 2The wife of a patient tells the home health nurse that she suspects her husband has sleep apnea because he _____________________________
____. (Select all that apply.)
a. snores loudly.
b. interrupts snoring with several seconds of silence.
c. complains of daytime drowsiness.
d. frequently is incontinent of urine.
e. has episodes of myoclonus.
Question 3The nurse makes arrangements to promote normal circadian rhythm in a long-term care facility by ensuring that all rooms have:
a. bright lights during the daytime.
b. dim lights to promote relaxation.
c. appropriate environmental temperature.
d. curtains for privacy.
Question 4The patient is encouraged to decrease fluid intake in the late evening to prevent interruption of sleep from:
a. increased digestive processes in the bowel.
b. episodes of nocturia.
c. gastroesophageal reflux.
d. changes in body temperature.
Question 5In order to assist a 75-year-old male resident in a long-term care facility to decrease his problems with sleep initiation, the nurse would:
a. provide a heavy snack at bedtime.
b. reschedule the 8 PM albuterol inhalation treatment to 4 PM.
c. coach the resident in 10 minutes of exercise prior to bedtime.
d. provide a cola drink, strong tea, or cocoa at bedtime.
Question 6The nurse clarifies that the continuous positive airway pressure (CPAP) machine decreases the incidence of episodes of sleep apnea by:
a. stimulating inspiration to be deeper.
b. taking over respiratory activity when the patient ceases to breathe.
c. sounding an alarm if respirations have ceased.
d. keeping alveoli from collapsing.
Question 7The 80-year-old man complains that when he goes to bed and cannot fall asleep, he tosses and turns and gets so frustrated that he gets up and drinks coffee all night. The nurse suggests that when he hasn't fallen asleep after 30 minutes, he should:
a. take two tablets of a sedative medication.
b. get up and do a mild stretching exercise for 15 minutes.
c. remain in bed with his eyes closed.
d. get up and read until he feels sleepy and then return to bed.
Question 8The nurse cautions the patient who has just started on the antidepressant trazodone hydrochloride to help relieve insomnia to:
a. increase fluids.
b. avoid aged cheese and red wine.
c. decrease sodium intake.
d. avoid excessive exposure to the sun.
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