FUNDAMENTALS OF NURSING 10TH EDITION LIPPINCOTT - TEST
BANK CHAPTER 35 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
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WHICH NATURAL CHEMICAL DOES THE BODY PRODUCE AT NIGHT TO DECREASE WAKEFULNESS
AND PROMOTE SLEEP?
A) MELATONIN
B) SEROTONIN
C) ENDORPHINS
D) DOPAMINE
A) Melatonin
MELATONIN IS A NATURAL CHEMICAL PRODUCED AT NIGHT THAT DECREASES WAKEFULNESS
AND PROMOTES SLEEP.
A CLIENT REPORTS THAT HER NAPS AFTER LUNCH OFTEN STRETCH TO THREE HOURS IN LENGTH
AND THAT SHE HAS GREAT DIFFICULTY ROUSING HERSELF AFTER A NAP. THIS CONDITION IS
BEST TERMED AS WHICH OF THE FOLLOWING?
A) HYPERSOMNIA
B) INSOMNIA
C) PARASOMNIA
D) SLEEP APNEA
A) Hypersomnia
HYPERSOMNIA IS A CONDITION CHARACTERIZED BY EXCESSIVE SLEEP, PARTICULARLY DURING
THE DAY. INSOMNIA IS CHARACTERIZED BY DIFFICULTY FALLING ASLEEP, INTERMITTENT SLEEP,
OR EARLY AWAKENING FROM SLEEP. PARASOMNIAS ARE PATTERNS OF WAKING BEHAVIOR THAT
APPEAR DURING SLEEP. SLEEP APNEA IS A CONDITION IN WHICH A PERSON EXPERIENCES THE
ABSENCE OF BREATHING, OR DIMINISHED BREATHING EFFORTS, DURING SLEEP (BETWEEN
SNORING INTERVALS).
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A CLIENT IN HIS 40'S HAS ASKED THE NURSE HOW MUCH SLEEP HE SHOULD BE GETTING IN
ORDER TO MAXIMIZE HIS HEALTH AND WELL- BEING. HOW SHOULD THE NURSE RESPOND?
A) "MOST ADULTS NEED BETWEEN SEVEN AND NINE HOURS, BUT EVERYONE IS DIFFERENT."
B) "IT'S IMPORTANT TO GET A MINIMUM OF EIGHT HOURS SLEEP EACH NIGHT."
C) "MORE SLEEP EQUALS BETTER HEALTH, SO THE MORE SLEEP YOU CAN FIT INTO YOUR
SCHEDULE, THE BETTER."
D) "SLEEP NEEDS DEPEND A LOT ON AGE, AND AT YOUR AGE, SIX TO SEVEN HOURS USUALLY
SUFFICE."
A) "Most adults need between seven and nine hours, but everyone is different."
SLEEP NEEDS AND ROUTINES ARE HIGHLY INDIVIDUAL, BUT MOST ADULTS REQUIRE BETWEEN
SEVEN AND NINE HOURS OF SLEEP.
WHICH OF THE FOLLOWING CLIENTS LIKELY FACES A RISK FOR THE NURSING DIAGNOSIS OF
DISTURBED SLEEP PATTERN: DIFFICULTY REMAINING ASLEEP?
A) A CLIENT WHO RECEIVES IV ANTIBIOTICS EVERY THREE HOURS
B) A CLIENT WHOSE OPIOID ANALGESICS RESULT IN CENTRAL NERVOUS SYSTEM DEPRESSION
C) A CLIENT WHO IS RECEIVING CORTICOSTEROIDS THAT MAKE HER FEEL RESTLESS AND
AGITATED
D) A CLIENT WHOSE PHYSICAL THERAPY HAS BEEN SCHEDULED IN THE LATE EVENING
A) A client who receives IV antibiotics every three hours.
A CLIENT WHO REQUIRES MEDICATIONS THROUGHOUT THE NIGHT IS LIKELY TO EXPERIENCE
THE FREQUENT AWAKENINGS ASSOCIATED WITH DISTURBED SLEEP PATTERN: DIFFICULTY
REMAINING ASLEEP. DROWSINESS OR AGITATION AS A RESULT OF MEDICATIONS MAY AFFECT
SLEEP, BUT ARE LESS LIKELY TO RESULT IN MID-SLEEP AWAKENINGS. A CLIENT WHO PERFORMS
PHYSICAL ACTIVITY PRIOR TO BEDTIME MAY HAVE DIFFICULTY FALLING ASLEEP.
WHICH GROUP OF TERMS BEST DESCRIBES SLEEP?
A) DECREASED STATE OF ACTIVITY, REFRESHED
B) ALTERED CONSCIOUSNESS, RELATIVE INACTIVITY
C) COMATOSE, IMMOBILITY
D) ALERT, RESPONSIVE