Fundamentals of Nursing Q 34
Which intervention should the nurse in charge try first for a client that exhibits signs of sleep disturbance?
A. Administer sleeping medication before bedtime.
B. Ask the client each morning to describe the quantity of sleep during the previous night.
C. Teach the client relaxation techniques, such as guided imagery, medication, and progressive muscle relaxation.
D. Provide the client with normal sleep aids, such as pillows, back rubs, and snacks.
Correct Answer: D. Provide the client with normal sleep aids, such as pillows, back rubs, and snacks
The nurse should begin with the simplest interventions, such as pillows or snacks, before interventions that require greater skill such as relaxation techniques. Sleep is a complex biological process. It is a reversible state of unconsciousness in which there are reduced metabolism and motor activity. Sleep disorders are a group of conditions that disturb the normal sleep patterns of a person. Sleep disorders are one of the most common clinical problems encountered. Inadequate or non-restorative sleep can interfere with normal physical, mental, social, and emotional functioning. Sleep disorders can affect overall health, safety, and quality of life.
Option A: Sleep medication should be avoided whenever possible. Histamine type 1 receptor blockers: due to their sedative effects, these drugs can be helpful in patients with sleep disorders. Benzodiazepines (BZD) are the mainstay in the treatment of insomnia. Non-benzodiazepine hypnotics are used for the treatment of acute and short term insomnia.
Option B: At some point, the nurse should do a thorough sleep assessment, especially if common sense interventions fail. The sleep diary, or sleep log, is a subjective paper record of sleep and wakefulness over a period of weeks to a month. Patients should record the detailed description of sleep, such as bedtime, duration until sleep onset, the number of awakenings, duration of awakenings, and nap times.
Option C: Relaxation techniques may be implemented before sleep. Meditation and breathing exercises are some of the relaxation techniques. It begins with being in a comfortable position and closing eyes. The mind and thoughts should be redirected towards a peaceful image, and relaxation should be allowed to spread throughout the body.