ATI Engage Fundamentals (Physiologic Concepts for
Nursing Practice): Comfort, Rest, and Sleep (With Rationale)
A nurse is contributing to a presentation about non pharmacological
interventions used to promote sleep. Which of the following information should
the nurse recommend including in the presentation?
a. Non pharmacological interventions should only be practiced in the clients
home setting.
b. Massage is a non pharmacological intervention that should be used to promote
sleep for clients who are taking anticoagulants.
c. Non-pharmacological interventions used to help promote sleep include
acupuncture and thermotherapy.
d. Before implementing nonpharmalogical interventions, clients should be
evaluated by a sleep specialist for sleep apnea and chronic lung disease.
c. Non-pharmacological interventions used to help promote sleep include acupuncture
and thermotherapy.
Nonpharmacological interventions should only be practiced in the client's home
setting.Nonpharmacological interventions can be practiced in medical facilities, as long
as they are not contraindicated.
Massage is a nonpharmacological intervention that should be used to promote sleep for
clients who are taking anticoagulants.Massage is contraindicated for clients who are
taking anticoagulants, as well as clients who have burns and wounds.
Nonpharmacological interventions used to help promote sleep include acupuncture and
thermotherapy.MY ANSWERThe nurse should recommend including in the presentation
that massage, acupuncture, and thermotherapy have been found to be effective
nonpharmacological interventions for sleep.
Before implementing nonpharmacological interventions, clients should be evaluated by
a sleep specialist for sleep apnea and chronic lung disease.Clients will need to be
educated on nonpharmacological interventions to promote sleep. Clients who require
pharmacological therapy for promotion of sleep should be evaluated by a sleep
specialist for sleep apnea and chronic lung disease
A nurse is caring for a client who takes an over-the-counter (OTC) sleep aid
medication every evening. Which of the following findings should the nurse
identify as a potential adverse effect of OTC sleep aid medications?
a. Hyperactivity
b. Diarrhea
c. Excessive salivation
d. Urinary retention
d. Urinary retention
HyperactivityOTC sleep aid medications can cause daytime drowsiness, not
hyperactivity.
, DiarrheaOTC sleep aid medications can cause constipation, not diarrhea.
Excessive salivationOTC sleep aid medications can cause dry mouth, not excessive
salivation.
Urinary retentionMY ANSWERThe nurse should identify that OTC sleep aid medications
can cause urinary retention, as well as daytime drowsiness, dry mouth, visual
disturbances, and constipation.
A nurse is caring for a client who needs to be awakened for the administration of
an oral medication. Which of the following findings should indicate to the nurse
that the client was in stage 3 of the sleep cycle when awakened?
a. The client was easily awakened.
b. The client states that they were having a pleasant dream.
c. The client experiences mental cloudiness for 30 to 60 min.
d. Prior to being awakened, the clients breathing was irregular and their heart rate
was elevated
c. The client experiences mental cloudiness for 30 to 60 min.
The client was easily awakened.The nurse should identify that a client who was easily
awakened was most likely in stage 1 of the sleep cycle, rather than stage 3. During
stage 1 of the sleep cycle, the client begins to relax and body and eye movements
begin to decrease. If left uninterrupted, the client will progress quickly to stage 2 of
sleep, where awakening becomes more difficult.
The client states that they were having a pleasant dream.Stage 4 of the sleep cycle,
also known as rapid eye movement (REM) sleep, is the dreaming stage of sleep. If a
client is awakened during this stage, their dreams will be interrupted.
The client experiences mental cloudiness for 30 to 60 min.MY ANSWERStage 3 of the
sleep cycle is the deepest stage of sleep in which muscle, tissue, and bones regenerate
and the immune system strengthens. If a client is awakened during stage 3 of the sleep
cycle, the nurse should expect the client to experience mental cloudiness for 30 to 60
min.
Prior to being awakened, the client's breathing was irregular and their heart rate was
elevated.Irregular breathing and increased heart rate are an indication that the client is
in stage 4 of the sleep cycle, also known as rapid eye movement (REM) sleep.
A nurse is caring for a client who has a history of migraines. The client tells the
nurse, "I have not been sleeping well. My migraine headaches have returned after
not having one for over a year." The nurse should identify that which of the
following are potential contributing factors to the client's migraines? (Select all
that apply)
Sleep-wake homeostasis
Sensory overlad
Sleep deprivation
Increased melatonin
Decreased hypocretin levels
Sensory overload
Sleep deprivation
MY ANSWER
Nursing Practice): Comfort, Rest, and Sleep (With Rationale)
A nurse is contributing to a presentation about non pharmacological
interventions used to promote sleep. Which of the following information should
the nurse recommend including in the presentation?
a. Non pharmacological interventions should only be practiced in the clients
home setting.
b. Massage is a non pharmacological intervention that should be used to promote
sleep for clients who are taking anticoagulants.
c. Non-pharmacological interventions used to help promote sleep include
acupuncture and thermotherapy.
d. Before implementing nonpharmalogical interventions, clients should be
evaluated by a sleep specialist for sleep apnea and chronic lung disease.
c. Non-pharmacological interventions used to help promote sleep include acupuncture
and thermotherapy.
Nonpharmacological interventions should only be practiced in the client's home
setting.Nonpharmacological interventions can be practiced in medical facilities, as long
as they are not contraindicated.
Massage is a nonpharmacological intervention that should be used to promote sleep for
clients who are taking anticoagulants.Massage is contraindicated for clients who are
taking anticoagulants, as well as clients who have burns and wounds.
Nonpharmacological interventions used to help promote sleep include acupuncture and
thermotherapy.MY ANSWERThe nurse should recommend including in the presentation
that massage, acupuncture, and thermotherapy have been found to be effective
nonpharmacological interventions for sleep.
Before implementing nonpharmacological interventions, clients should be evaluated by
a sleep specialist for sleep apnea and chronic lung disease.Clients will need to be
educated on nonpharmacological interventions to promote sleep. Clients who require
pharmacological therapy for promotion of sleep should be evaluated by a sleep
specialist for sleep apnea and chronic lung disease
A nurse is caring for a client who takes an over-the-counter (OTC) sleep aid
medication every evening. Which of the following findings should the nurse
identify as a potential adverse effect of OTC sleep aid medications?
a. Hyperactivity
b. Diarrhea
c. Excessive salivation
d. Urinary retention
d. Urinary retention
HyperactivityOTC sleep aid medications can cause daytime drowsiness, not
hyperactivity.
, DiarrheaOTC sleep aid medications can cause constipation, not diarrhea.
Excessive salivationOTC sleep aid medications can cause dry mouth, not excessive
salivation.
Urinary retentionMY ANSWERThe nurse should identify that OTC sleep aid medications
can cause urinary retention, as well as daytime drowsiness, dry mouth, visual
disturbances, and constipation.
A nurse is caring for a client who needs to be awakened for the administration of
an oral medication. Which of the following findings should indicate to the nurse
that the client was in stage 3 of the sleep cycle when awakened?
a. The client was easily awakened.
b. The client states that they were having a pleasant dream.
c. The client experiences mental cloudiness for 30 to 60 min.
d. Prior to being awakened, the clients breathing was irregular and their heart rate
was elevated
c. The client experiences mental cloudiness for 30 to 60 min.
The client was easily awakened.The nurse should identify that a client who was easily
awakened was most likely in stage 1 of the sleep cycle, rather than stage 3. During
stage 1 of the sleep cycle, the client begins to relax and body and eye movements
begin to decrease. If left uninterrupted, the client will progress quickly to stage 2 of
sleep, where awakening becomes more difficult.
The client states that they were having a pleasant dream.Stage 4 of the sleep cycle,
also known as rapid eye movement (REM) sleep, is the dreaming stage of sleep. If a
client is awakened during this stage, their dreams will be interrupted.
The client experiences mental cloudiness for 30 to 60 min.MY ANSWERStage 3 of the
sleep cycle is the deepest stage of sleep in which muscle, tissue, and bones regenerate
and the immune system strengthens. If a client is awakened during stage 3 of the sleep
cycle, the nurse should expect the client to experience mental cloudiness for 30 to 60
min.
Prior to being awakened, the client's breathing was irregular and their heart rate was
elevated.Irregular breathing and increased heart rate are an indication that the client is
in stage 4 of the sleep cycle, also known as rapid eye movement (REM) sleep.
A nurse is caring for a client who has a history of migraines. The client tells the
nurse, "I have not been sleeping well. My migraine headaches have returned after
not having one for over a year." The nurse should identify that which of the
following are potential contributing factors to the client's migraines? (Select all
that apply)
Sleep-wake homeostasis
Sensory overlad
Sleep deprivation
Increased melatonin
Decreased hypocretin levels
Sensory overload
Sleep deprivation
MY ANSWER
