A nurse is implementing interventions to promote a safe sleeping environment for a patient with sleep disorders. What action would the nurse take to achieve this goal?
Provide the patient with caffeinated beverages in the evening.
Encourage the patient to exercise vigorously right before bedtime.
Minimize noise and disturbances in the patient's sleeping environment.
Administer medications to induce sleep at the patient's desired time.
The Correct Answer is C
Choice A rationale:
Providing the patient with caffeinated beverages in the evening is counterproductive to promoting a safe sleeping environment. Caffeine is a stimulant that can interfere with the ability to fall asleep and stay asleep.
Choice B rationale:
Encouraging the patient to exercise vigorously right before bedtime can actually hinder sleep. Exercise increases alertness and releases adrenaline, making it harder for the body to relax and prepare for sleep. It's recommended to finish vigorous exercise at least a few hours before bedtime.
Choice C rationale:
The correct choice, this action is essential for promoting a safe sleeping environment. Noise and disturbances can disrupt sleep and prevent the patient from achieving restful sleep. Minimizing noise and disturbances can involve measures such as using earplugs, ensuring a comfortable room temperature, and darkening the room to reduce light exposure.
Choice D rationale:
Administering medications to induce sleep at the patient's desired time might lead to dependence on medications for sleep initiation. It's important to address the underlying causes of sleep disorders and use medications judiciously under medical supervision, as stated in Choice D.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale:
Asking about caffeine consumption close to bedtime is relevant as caffeine is a stimulant that can interfere with sleep. Consuming caffeine too close to bedtime can disrupt sleep onset and overall sleep quality.
Choice B rationale:
Engaging in vigorous exercise before going to bed can increase alertness and body temperature, making it harder to fall asleep. It's important to finish exercise several hours before bedtime to allow the body to wind down.
Choice C rationale:
Inquiring about surgery for sleep disorders might not directly provide information about the patient's sleep patterns. While surgeries like sleep apnea treatment might impact sleep, this question is less focused on gathering information about sleep habits.
Choice D rationale:
Asking whether the patient uses the bed for activities other than sleep and sex is relevant to understanding sleep hygiene. Using the bed for activities like work or watching TV can disrupt the association between the bed and sleep.
Choice E rationale:
Inquiring about nightmares frequency can provide insight into sleep quality and potential sleep disturbances. Frequent nightmares can lead to fragmented sleep and contribute to sleep pattern disturbances.
Correct Answer is A
Explanation
Choice A rationale:
"Sleep deprivation can lead to decreased testosterone production.". This is the correct choice. Sleep plays a crucial role in hormone regulation, including testosterone production. Chronic sleep deprivation has been linked to decreased testosterone levels, which can affect various aspects of metabolic function, including muscle mass, energy levels, and overall metabolic health.
Choice B rationale:
"Sleep deprivation is linked to an increased risk of heart failure.". While sleep deprivation has been associated with an increased risk of cardiovascular issues, including heart failure, this choice focuses more on cardiac health rather than direct metabolic consequences. The primary concern in this question is the potential impact of sleep deprivation on metabolic function.
Choice C rationale:
"Sleep deprivation can impair wound healing and vaccine response.". This choice points out the potential consequences of sleep deprivation on immune function, wound healing, and vaccine response. Although this is a relevant consequence of sleep deprivation, it doesn't directly address the metabolic function aspect mentioned in the question.
Choice D rationale:
"Sleep deprivation is associated with a higher susceptibility to infections.". While sleep deprivation can indeed weaken the immune system and increase susceptibility to infections, this choice, like Choice C, does not directly address the impact on metabolic function that the question is asking about.
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