Which nursing observation of the patient in intensive care indicates the patient is sleeping comfortably during NREM sleep?
a. Eyes closed, lying quietly, respirations 12, heart rate 60
b. Eyes closed, tossing in bed, respirations 18, heart rate 80
c. Eyes closed, mumbling to self, respirations 16, heart rate 68
d. Eyes closed, lying supine in bed, respirations 22, heart rate 66
ANS: A
During NREM sleep, biological functions slow. During sleep, the heart rate decreases to 60 beats/min or less. The patient experiences decreased respirations, blood pressure, and muscle tone. Heart rates above 60 are too high and respirations of 22 are too high to indicate comfortable NREM sleep.
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