The nurse is caring for a patient who has not been able to sleep well while in the hospital, leading to a disrupted sleep-wake cycle. Which assessment findings will the nurse monitor for in this patient? (Select all that apply.)
a. Changes in physiological function such as temperature
b. Decreased appetite and weight loss
c. Anxiety, irritability, and restlessness
d. Shortness of breath and chest pain
e. Nausea, vomiting, and diarrhea
f. Impaired judgment
ANS: A, B, C, F
The biological rhythm of sleep frequently becomes synchronized with other body functions. Changes in body temperature correlate with sleep pattern. When the sleep-wake cycle becomes disrupted, changes in physiological function such as temperature can occur. Patients can experience decreased appetite, loss of weight, anxiety, restlessness, irritability, and impaired judgment. Gastrointestinal and respiratory/cardiovascular symptoms such as shortness of breath and chest pain are not symptoms of a disrupted sleep cycle.
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