Sleep, Comfort and Rest, Delegation, Teaching, gerontologic cons

The mother of a 14 year-old patient reports to the nurse that her daughter stays up until about 1am using her phone. The nurse asks what time her daughter wakes up for school. The mother states 6:15 am. The nurse concludes that the patient is sleeping 5 1/4 hours per night. Teaching should include:

• The importance of the patient getting 9-11 hours of sleep per day

• The importance of the patient getting 8-10 hours of sleep per day

• The patient is sleeping an adequate amount for her age

• The patient is sleeping too much for her age

Infants and toddlers require more sleep than older children and adults. When calculating the number of hours slept the nurse should include all nap times. The nurse recognizes that the following sleep requirements are within sufficient range. Select all that apply

• Older Adults

  7-9 hours

• Preschool age

  (3-5 year old)

  10-13 hours per day

• Teenagers

  (14-17 year old )

  8-10 hours per day

• School Age

  (6-13 yearsold)

  9-11 hours

• Newborn

  (0-3 months)

  14-17 hours

A rehabilitation patient is having difficulty getting enough restorative sleep. Which of the following environmental factors might be affecting his ability to sleep? Select all that apply

• Loud noises caused by machines beeping

• Too much light in the room at night

• Pain in the patient's back

• Drinking caffeinated coffee in the evening

The nurse is interviewing a patient about his sleep habits. The patient reports that his wife tells him that sometimes he stops breathing when he is sleeping. He also states that he wakes up feeling tired. The nurse recognizes that the patient might have

• narcolepsy

• bruxism

• enuresis

• Sleep apnea

Answer explanation

sleep apnea is periods of no breath during sleep.

Enuresis is commonly known as "bed wetting"

Bruxism " grinding of the teeth", which can lead to TMJ and teeth breaking

Which are aseptic practices that are appropriate when making an unoccupied bed ? Select all that apply

• raise the bed to an appropriate position

• loosen the bed linens from the mattress

• place clean linens on a chair

• Hold soiled linens away from your uniform

• Place soiled linens directly into the hamper

Answer explanation

key word "aseptic practices"

analyze the answers and select options that reduce the transmission of microorganisms

What interval of time should the nurse allow to avoid interrupting a sleeping client's full cycle of NREM and REM sleep?

• 30- 60 minutes

• 60-90 minutes

• 90-120 minutes

• 120-150 minutes

When assessing a sleeping client which observation suggests that a client is in REM sleep? Select all that apply

• Muscle twitching

• snoring

• little physical movement

• Darting movement beneath the eyelids

• Talking while asleep

The evening nurse supervisor has received many complaints about one of the night nurses arriving 30 minutes late for her shift every time she is scheduled. What should the Nursing Supervisor do ?

• Immediately report the night nurse to the Director of Nursing

• Take the night nurse aside and discuss her lack of timeliness, the importance of punctuality and try to find a solution

• Hold a full staff meeting with Evening and Night staff to discuss time and attendance

• Suggest to the nurses who are complaining that they should address the nurse

The nurse is taking care of a patient that has an ng tube attached to suction. The ng tube is draining yellow/green into the suction cannister. The patient is on intake and output. What tasks can the nurse delegate to the CNA?

• Measuring the amount of drainage in the suction cannister

• Assessing the proper placement of the ng tube at the beginning of the shift

• Evaluating the amount of drainage for fluid balance

• Assessing for gastric pain every 4 hours

Answer explanation

The nurse must delegate appropriately and within the person's scope of practice. The CNA can not insert catheters/tubes into patients. They can not evaluate or assess patients. They can observe and measure then report.