A hospitalized client is being woken up every hour during the night for care and procedures. The nurse realizes that the lack of sleep can have which physiological effect?
1. Decrease urine output.
2. Increase thirst.
3. Increase susceptibility to infection.
4. Decrease heart rate.
Correct Answer: 3
Rationale 1: The loss of NREM sleep does not impact urine output.
Rationale 2: The loss of NREM sleep does not impact thirst.
Rationale 3: The loss of NREM sleep causes immunosuppression, slows tissue repair, lowers pain tolerance, triggers profound fatigue, and increases susceptibility to infection.
Rationale 4: In NREM sleep, the heart rate decreases. With the loss of NREM sleep, this decrease would not occur.
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