A client is discussing with the nurse ways to promote a sleeping environment.Which factors should be included in the plan of care? (Select all that apply.)

Question

1. Avoid foods, caffeinated beverages, and alcohol prior to going to sleep.
2. Ask the prescriber for a medication to assist in falling asleep.
3. Eat a large meal with high protein and fat close to bedtime.
4. Stressful conditions such as too much light or warm temperature should be avoided.
5. Central nervous medications can aid to staying asleep.

Answer 1

1, 4

Rationale 1:Avoiding food or beverages containing stimulants such as caffeine may interrupt sleep.Alcohol, although often enables a person to fall asleep, may produce vivid dreams and frequent awakening restful sleep.
Rationale 2: Nonpharmacologic means of promoting a sleep environment is attempted before drug therapy.
Rationale 3:Eating a large meal with high protein and fat close to bedtime can cause an increase of metabolism to digest the food.
Rationale 4: Stressful conditions, for example, too much light, an uncomfortable room temperature, snoring, sleep apnea, and recurring nightmares, also interfere with sleep.
Rationale 5:Central nervous medications are usually stimulants and should be avoided immediately before bedtime.

Global Rationale: Food or beverages containing stimulants such as caffeine may interrupt sleep.A patient may also find that using tobacco products makes them restless and edgy.Alcohol, although often enables a person to fall asleep, may producevivid dreams and frequent awakening that prevent restful sleep.Eating a large meal, especially one high in protein and fat, close to bedtime may interfere with sleep because metabolism increases to digest the food.Certain medications cause central nervous system (CNS) stimulation, and these should not be taken immediately before bedtime.Stressful conditions, for example, too much light, an uncomfortable room temperature, snoring, sleep apnea and recurring nightmares, also interfere with sleep.