Which of the following clients is most likely to experience difficulty returning to sleep?
1. A 60-year-old with benign hypertropic prostatic disease
2. A 15-year-old with type 1 diabetes
3. A 35-year-old diagnosed with hypothyroidism
4. A 55-year-old diagnosed with hypertension
ANS: 1
Nocturia, or urination during the night, disrupts sleep and the sleep cycle. This condition is most common in older people with reduced bladder tone or persons with cardiac disease, diabetes, urethritis, or prostatic disease. After a person awakens repeatedly to urinate, returning to sleep is difficult. Although all the clients may have difficulty falling back to sleep when awakened, the answer represents the client with the greatest tendency to be awakened during the night.
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