A client is complaining of irritability, difficulty with memory, constant fatigue, and an inability to fall asleep
The client averages 3 hours of sleep each night, has been following a restricted calorie evening meal as part of a weight loss plan, and exercises every evening. Instead of food, the client drinks no-calorie caffeinated sodas. What should the nurse suggest to this client?
1. Eating a larger meal later in the evening will facilitate better sleep and relieve the symptoms.
2. An MRI might be necessary to determine the factors causing the symptoms.
3. Dieting is a common cause for difficulty sleeping.
4. Changes in hormones due to exercising late in the evening and late intake of caffeine might be disrupting the NREM sleep phase, causing the stated symptoms.
Correct Answer: 4
Rationale 1: Eating a larger meal in the evening usually causes sleeplessness.
Rationale 2: A MRI would not be ordered until other conditions were ruled out.
Rationale 3: Dieting can have an affect on sleep, but it would not be the best response in this case.
Rationale 4: Decreases in neurotransmitters signal the change from wakefulness to nonrapid eye movement (NREM) sleep. Late exercise increases adrenaline, and caffeine is a stimulant. Both of these factors could interrupt NREM sleep.
Global Rationale: Decreases in neurotransmitters signal the change from wakefulness to nonrapid eye movement (NREM) sleep. Late exercise increases adrenaline, and caffeine is a stimulant. Both of these factors could interrupt NREM sleep. Eating a larger meal in the evening usually causes sleeplessness. A MRI would not be ordered until other conditions were ruled out. Dieting can have an affect on sleep, but it would not be the best response in this case.
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