Which strategies should the nurse include in the plan of care when trying to minimize sleep disruptions for a patient in an ICU? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Instituting a short course of therapy for sleeping agents
2. Accurate scoring and vigilance in sedation and sedation scoring
3. Managing the environment to reduce lighting, sounds, and so on
4. Minimizing staff interruptions during sleep periods
5. Scheduling treatments only during the day or at least 4 hours apart at night
1,2,3,4
Rationale 1: This is a strategy to minimize interruptions of sleep and to maximize the rest benefits that will shorten the duration of care based on research findings.
Rationale 2: This is a strategy to minimize interruptions of sleep and to maximize the rest benefits that will shorten the duration of care based on research findings.
Rationale 3: This is a strategy to minimize interruptions of sleep and to maximize the rest benefits that will shorten the duration of care based on research findings.
Rationale 4: This is a strategy to minimize interruptions of sleep and to maximize the rest benefits that will shorten the duration of care based on research findings.
Rationale 5: Planning the care for only the day hours or at least 4 hours is not practical to improve the outcomes of the patient, because some medications, therapies, and assessments need to be made around the clock for the greatest benefits to occur. The minimum time for resting that is suggested is to not interrupt less than 2 to 3 hours of sleep in order to minimize sleep fragmentation and improve restful sleep.
You might also like to view...
A mother of five children is admitted to the hospital for abdominal pain. The nurse asks a series of questions before performing a physical assessment. The patient answers the questions
When asking the patient some other questions, the patient's spouse starts to answer. As the admission process progresses and the nurse gathers subjective data, the nurse requests that the patient answer the next questions. What is the rationale for the nurse's behavior? a. The patient is exhibiting confusion. b. The spouse is being obnoxious. c. The patient is the best source of information. d. The spouse is too controlling.
A client scheduled for surgery has to undergo insertion of an endotracheal tube. The nurse understands that which of the following drugs for general anesthesia would most likely be ordered for this client?
A) Benzodiazepines B) Barbiturates C) Opioid analgesics D) Skeletal muscle relaxants
The nurse from an ophthalmologist's office is offering education on eye disorders and associated treatments to the nurses of a medical-surgical unit
To evaluate understanding among the group, the nurse asks, "What is the major role of cycloplegic and mydriatic drugs?" The nurses would be correct to respond that these medications are indicated for (Select all that apply.) a. use with ophthalmic surgery. b. treatment of conjunctivitis. c. treatment of glaucoma. d. facilitation of eye examinations. e. relief of acute eye pain.
A male client informs the nurse his partner is infected with chlamydia and he is concerned he may be infected as well. The nurse questions him to determine if he has any of the following manifestations:
A) urinary retention B) blisters on the penis C) painful intercourse D) urethral discharge