Which information regarding a patient's sleep is most important for the nurse to communicate to the health care provider?
a. 64-year-old nurse who works the night shift reports drinking hot chocolate before going to bed in the morning
b. 21-year-old student who takes melatonin to assist in sleeping when traveling from the United States to Europe
c. 41-year-old librarian who has a body mass index (BMI) of 42 kg/m2 says that the spouse complains about snoring
d. 32-year-old accountant who is experiencing a stressful week uses diphenhydramine (Benadryl) for several nights
ANS: C
The patient's BMI and snoring suggest possible sleep apnea, which can cause complications such as cardiac dysrhythmias, hypertension, and right-sided heart failure. Melatonin is safe to use as a therapy for jet lag. Short-term use of diphenhydramine in young adults is not a concern. Hot chocolate contains only 5 mg of caffeine and is unlikely to affect this patient's sleep quality.
You might also like to view...
The nurse is caring for a patient taking Bromocriptine (Cycloset). What is an advantage of this medication?
A) Reduces risk of heart attack or stroke B) Has no adverse effects C) Is taken four times a day D) Long-term studies needed
The nurse is identifying a diagram to use to explain a client's acid-base balance. Which imbalance does the following diagram suggest is occurring with the client?
A) Metabolic acidosis B) Metabolic alkalosis C) Respiratory acidosis D) Respiratory alkalosis
The nurse notes a child scratching the scalp and observes dry, brittle hair and bald patches. The nurse tells the parent that the child has:
A) tinea capitis. B) tinea pedis. C) tinea corporus. D) tinea cruris.
Which term describes air that is expired beyond tidal volume in a forceful exhalation?
a. Forced vital capacity b. Peak expiratory flow rate c. Tidal volume d. Expiratory reserve