Essentials Of Nursing Care: Health Differences (Nc2): Rest And Sleep

Front 1

- physical or emotional pain
- loss of familiar surroundings
- loss of routine
- fear of the unknown
- loss of privacy
- timing of assessment, procedures and treatments
- intrusive lighting or equipment
- noise level

Back 1

factors affecting sleep

Front 2

- trusting nurse-client relationship
- relaxing environment
- relaxation techniques
-appropriate nutrition
- pharmacological interventions
-client education

Back 2

nursing interventions to promote rest and sleep

Front 3

-dark areas under eyes
- puffy eyelids, reddened conjunctiva
-glazed or dull appearing eyes
-limited facial expression

Back 3

symptoms of sleep problems

Front 4

Relaxed and drowsy, profound restfulness, usually last only a few minutes, floating sensation, eyes roll side to side:

Back 4

Stage I NREM

Front 5

Lightly asleep; easily aroused; 40-50% total sleep time:

Back 5

Stage II NREM

Front 6

Less easily aroused, medium depth sleep, muscles relaxed, BP and temp decrease:

Back 6

Stage III NREM

Front 7

Deepest sleep stage, rarely moves, muscles completely relaxed, difficult to arouse:

Back 7

Stage IV NREM

Front 8

Active dreaming occurs, muscle tone depressed brain very active, HR and RR irregular, rapid eye movements; 25% sleep:

Back 8

REM

Front 9

- Valium
- Dalmane
- hypothyroidism
- depression
- respiratory distress disorders
- sleep apnea
- age

Back 9

Common causes of NREM deprivation

Front 10

- withdraw
- apathy
- feeling physically uncomfortable
- lack of facial expression

Back 10

S/S NREM deprivation

Front 11

-ETOH
- barbiturates
- shiftwork
- jet lag
- MS and demerol

Back 11

common causes of REM deprivation

Front 12

- Excitability
- Restlessness
- Increase sensitivity to pain
- confusion
- suspiciousness
- emotional ability

Back 12

S/S REM deprivation

Front 13

Distract pt away from painful sensations:

Back 13

cutaneous stimulation

Front 14

The most effective RX in promoting sleep:

Back 14

Dalmane

Front 15

An affect of MS:

Back 15

Decreased amount of REM sleep

Front 16

An effect of a mother with a newborn who awakens q 3 hrs

Back 16

decreased REM sleep

Front 17

During 7-8 hrs, a sleeper usually has _____ cycles of sleep:

Back 17

4-6

Front 18

Elderly adults have a decrased or absent Stage ____

Back 18

IV

Front 19

-PNS increases necessary for protein synthesis
-Restores normal level of activities
-Normal balance among parts of the nervous system

Back 19

Functions of sleep

Front 20

Hypnotics affect stages:

Back 20

III & IV

Front 21

Infradian

Back 21

monthly

Front 22

Secobarbital interferes with

Back 22

III, IV and NREM
suppresses REM sleep

Front 23

Beta blockers known to cause

Back 23

insomnia

Front 24

Narcotics suppress

Back 24

REM

Front 25

SE of tranquilizer withdrawal

Back 25

nightmares

Front 26

Sleepwalking is a disorder that occurs when people walk or do another activity while they are still asleep:

Back 26

somnambulism

Front 27

Decreased judgment, ability to concentrate, inattentiveness, fatigue, blurred vision, difficulty performing ADLs, lack of memory:

Back 27

REM and NREM deprivation

Front 28

REM complete the ____ cycle of sleep:

Back 28

1st

Front 29

Sedative hypnotics induce

Back 29

sleep

Front 30

Sequence of a normal sleep cycle stages:

Back 30

I
II
III
IV
III
II
REM

Front 31

Stage where body rests, restores and relaxes:

Back 31

IV

Front 32

Stage where sleeper is difficult to arouse:

Back 32

IV

Front 33

Stages when norepi is released in the bloodstream and results in anxiety

Back 33

IV REM

Front 34

· Degree of Comfort.
· Anxiety.
· Environment.
· Lifestyle.
· Diet.
· Drugs & other substances.
· Age/Aging.
· Physical Factor

Back 34

Factors Affecting Rest & Sleep