The nurse is assessing the vital signs of a sleeping patient at 0400 a.m. and notes the patient is experiencing stage IV non-rapid eye movement (NREM) sleep. The nurse should expect which of the following findings?

Small muscle twitching.

An increase in temperature.

Difficult to arouse.

An increase in pulse rate.

Answer and Explanation

The Correct Answer is C

A. Small muscle twitching. Small muscle twitching is more common during REM sleep, not Stage IV NREM sleep.

B. An increase in temperature. Stage IV NREM sleep is associated with stable body temperature rather than an increase.

C. Difficult to arouse. Stage IV NREM sleep is known as deep sleep, and individuals are indeed difficult to arouse during this stage.

D. An increase in pulse rate. Stage IV NREM sleep typically features a stable or decreased pulse rate, not an increase.

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Correct Answer is D

Explanation

A. The client with breast cancer who had a mastectomy. This client is facing a significant life change and physical alteration that may lead to psychosocial stressors such as body image issues and emotional distress.

B. The client with chronic obstructive pulmonary disease who requires oxygen therapy. Although this condition is challenging, the primary stressors are often physical and related to the management of the disease rather than psychosocial stressors.

C. The client with colon cancer who has a colostomy. A colostomy can affect body image and self-esteem, potentially leading to psychosocial stressors such as anxiety or social isolation.

D. The client with a left upper arm fracture who was a victim of a crime. The fracture and the trauma of being a crime victim are significant psychosocial stressors. The emotional and psychological impact of the crime can affect the client’s overall mental health.

A. "Drinking coffee at night is okay as long as you are used to it." B. "Moderate exercise 2 hours before bed is recommended." C. "Drinking alcoholic beverages, promotes better sleep." D. "Most adults require 6-9 hours of sleep per night."

Correct Answer is D

Explanation

A. "Drinking coffee at night is okay as long as you are used to it." Caffeine can disrupt sleep patterns and should be avoided close to bedtime, even if the individual is accustomed to it.

B. "Moderate exercise 2 hours before bed is recommended." Moderate exercise can promote better sleep, but it is generally recommended to complete exercise at least a few hours before bedtime to avoid overstimulation.

C. "Drinking alcoholic beverages promotes better sleep." Alcohol can initially induce sleep but often leads to disturbed sleep later in the night and can affect sleep quality.

D. "Most adults require 6-9 hours of sleep per night." This is accurate and reflects the general guideline for sleep duration needed for most adults to maintain health and well-being.

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The nurse is assessing the vital signs of a sleeping patient at 0400 a.m. and notes the patient is experiencing stage IV non-rapid eye movement (NREM) sleep. The nurse should expect which of the following findings?

Nursing Test Bank

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Correct Answer is D

Explanation

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The nurse is assessing the vital signs of a sleeping patient at 0400 a.m. and notes the patient is experiencing stage IV non-rapid eye movement (NREM) sleep. The nurse should expect which of the following findings?