The nurse is caring for a patient who works night shift from 2200 (10 PM) to 0600 (6 AM) and normally sleeps from 0800 (8 AM) until 1600 (4 PM) each day. The nurse would teach this patient to take his or her corticosteroid at what time of the day?
A) 06:00 (6 AM)
B) 08:00 (8 AM)
C) 16:00 (4 PM)
D) 22:00 (10 PM)
C
Feedback:
If a person works all night and goes to bed at 8 AM, arising at 4 PM to carry on the day's activities before going to work at 10 PM, the hypothalamus will release corticotropin-releasing hormone at about 4 PM in accordance with the new sleep–wake cycle. It usually takes 2 or 3 days for the hypothalamus to readjust. A patient on this schedule who is taking replacement corticosteroids would then need to take them at 4 PM, or on arising. All other options would not be optimal.
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