Sleep Essay

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Potter: Essentials for Nursing Practice, 8th Edition Chapter 31: Sleep Answer Key - Review Questions and Rationales 1. ANS: 1 Body weight has been shown to be the strongest risk factor for developing OSA. Weight loss can be effective for the patient with OSA. It is important for the patient to follow an appropriate weight-reduction plan. 2. ANS: 1 The noise of television can be disruptive. In addition, television adds too much stimulation that is disruptive to sleep. 3. ANS: 1, 4 Limiting fluids reduces incidence of nocturia. For safety reasons complete darkness should be avoided. A soft night-light lessens the chance of a fall should the patient require ambulation to the bathroom during the night. Older adults sometimes require extra blankets or covers to achieve a comfortable sleeping temperature. 4. ANS: 3 Lighter sleep is characteristic of stages 1 and 2, when a person is more easily aroused. 5. ANS: 2 Hypnotics are drugs that induce and/or maintain sleep. However, long-term use of these drugs disrupts sleep and leads to more serious problems. 6. ANS: 3 The neonate and infant up to the age of 3 months sleep an average of 16 hours a day. 7. ANS: 3 Patients with narcolepsy may experience frightening dreamlike transitions. 8. ANS: 1, 2, 3 The FDA has not evaluated it for its safety or effectiveness; however, short-term use of melatonin is considered safe with mild side effects of nausea, headache, and dizziness. Over the long term it could lead to further sleep disruption. 9. ANS: 3 Obesity is a major factor in OSA. Body weight, body mass index in particular, has been shown to be the strongest risk factor for developing OSA. 10. ANS: 4 Bedtime routines relax patients in preparation for sleep. Hospitalized patients should follow their at-home bedtime routine. Excessive mental stimulation should be avoided close to

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