An older patient suffering from chronic exhaustion has an EEG that shows little time is spent in REM sleep. After reviewing the patient's history, what does the nurse suspect might be contributing to the patient's sleep problem?
A) Has two or three glasses of wine near bedtime
B) Obese and diagnosed with type 2 diabetes 6 years ago
C) Takes low-dose aspirin for the prevention of heart disease
D) Stressed due to the spouse's new diagnosis of Alzheimer disease
A
Feedback:
Certain drugs can decrease REM sleep, including alcohol. The use of aspirin has not been associated with decreased REM sleep. Obesity, type 2 diabetes, and stress have not been linked to specifically reducing the amount of REM sleep although these health problems can negatively impact sleep overall.
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1. Offering to arrange for a sleep chair for the family's use 2. Notifying the family that the client has returned from surgery 3. Telling the family when the client's surgeon will be on the unit 4. Always being available to spend time answering the family's questions