A sleeping patient has periodic pauses in breathing, then starts to breathe again.
The nurse recognizes this sleep pattern is consistent with:.
Excessive NREM sleep.
Insomnia.
Narcolepsy.
Sleep apnea.
The Correct Answer is D
Choice A rationale:
Excessive NREM sleep does not cause periodic pauses in breathing. NREM (Non-Rapid Eye Movement) sleep consists of stages 1 through 4 and is characterized by a decrease in physiological activity, including a decrease in muscle tone. There is no direct association with breathing interruptions in NREM sleep.
Choice B rationale:
Insomnia is a sleep disorder characterized by difficulty falling asleep or staying asleep, but it does not involve periodic pauses in breathing. It is unrelated to the symptoms described in the question.
Choice C rationale:
Narcolepsy is a sleep disorder characterized by excessive daytime sleepiness and sudden episodes of muscle weakness (cataplexy). It is not associated with periodic pauses in breathing, as described in the question.
Choice D rationale:
Sleep apnea is the correct answer. Sleep apnea is a sleep disorder characterized by repeated episodes of paused or shallow breathing during sleep. The patient may stop breathing for brief periods, then start breathing again. This pattern is consistent with the symptoms described in the question. Sleep apnea can have serious health implications and is important to recognize and address.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
True. As people age, it is common for them to experience more frequent awakenings during the night. This is often due to changes in sleep patterns, such as a decreased ability to maintain deep sleep, which can result in waking up more easily. Additionally, older adults may nap more during the day, which can affect their nighttime sleep patterns.
Choice B rationale:
False. Giving older adults hypnotics to induce better sleep is not a recommended approach as it may have adverse effects, including dependency and increased risk of falls. The focus should be on understanding and addressing the underlying causes of sleep disturbances in older adults.
Choice C rationale:
False. While it is important to assess and address sleep concerns in older adults, there is no fixed requirement of needing at least 10 hours of sleep a day to prevent fatigue. Sleep needs can vary, and older adults may require less sleep than younger individuals.
Choice D rationale:
False. Older adults may nap more during the day, but reducing daytime napping is not a guaranteed solution to improve nighttime sleep. Sleep patterns can change with age, and individual variations in sleep needs and habits should be considered.
Correct Answer is C
Explanation
Choice A rationale:
Keeping bright lights on in the room is not conducive to relaxation. Bright lights can be stimulating and may increase stress, which is counterproductive when trying to manage pain through relaxation techniques.
Choice B rationale:
Using relaxation techniques as a way to wake up in the morning is not the intended purpose of these techniques. Relaxation techniques are typically used to reduce stress, anxiety, and pain, especially when one is trying to rest or sleep.
Choice C rationale:
Tensing and relaxing individual muscle groups, starting with the toes and feet, is a common method for progressive muscle relaxation. This technique can help reduce muscle tension and promote overall relaxation. It is an effective approach to pain management.
Choice D rationale:
Trying to tense and relax all of the muscles of the body at the same time may be difficult for most individuals and is not a commonly recommended relaxation technique. It can be challenging to achieve the level of focus and control required for this method, and it may not be as effective as focusing on individual muscle groups.
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