NURS 3000: Reducing Environmental Distractions in Hospitals

Positioning dependent clients appropriately and providing supportive devices to protect pressure areas.

Close window curtains.

Using a flashlight to check drainage bags, identification, dressings, and IV infusions.

<p>Ensuring the bed linen is smooth, clean, and dry.</p> Signup and view all the answers

<p>Keeping required conversations at low levels and conducting nursing reports or other discussions in a separate area away from client rooms.</p> Signup and view all the answers

<p>Factors affecting sleep include environmental temperature, light levels, and noise. In hospital settings, 'quiet times' can be instituted, lights can be lowered, and activity and noise can be decreased to promote sleep.</p> Signup and view all the answers

<p>A partner's sleep habits, such as snoring or having different sleep schedules, can disrupt an individual's sleep. Strategies to mitigate this include establishing a relaxing presleep routine, avoiding stimulating activities before bedtime, and creating a sleep-conducive environment.</p> Signup and view all the answers

<p>Sleep-promoting strategies include maintaining a consistent sleep schedule, engaging in moderate exercise in the morning or early afternoon, and avoiding stimulating activities before bedtime. These strategies can be adapted to accommodate different lifestyles, such as wearing dark wraparound sunglasses and light-blocking shades for night shift workers.</p> Signup and view all the answers

<p>Environmental distractions, such as light and noise, can affect sleep by making it difficult to fall asleep and stay asleep. Techniques to reduce their impact include lowering light levels, reducing noise, and creating a sleep-conducive environment.</p> Signup and view all the answers

<p>Hygienic routines that can promote sleep include establishing a relaxing presleep routine, avoiding stimulating activities before bedtime, and creating a sleep-conducive environment. These routines can be incorporated into daily life by making them a priority and establishing a consistent sleep schedule.</p> Signup and view all the answers

<p>Alcohol disrupts REM sleep, although it may hasten the onset of sleep. While making up for lost REM sleep, individuals often experience nightmares, leading to poor sleep quality and irritability.</p> Signup and view all the answers

<p>Antidepressants suppress REM sleep, which is considered a therapeutic action. Selectively depriving a depressed client of REM sleep results in an immediate but transient improvement in mood.</p> Signup and view all the answers

<p>Xanthines, such as caffeine, stimulate the cerebral cortex to increase alertness, making them counterproductive to sleep promotion.</p> Signup and view all the answers

<p>Discontinuing these medications can lead to a REM rebound, resulting in increased REM sleep and intense dreams. Warning clients about this effect can reduce their anxiety and promote a smoother transition.</p> Signup and view all the answers

<p>Amphetamines have been used to reduce excessive daytime sleepiness, but they can disrupt sleep patterns. Their use should be carefully considered and monitored to avoid adverse effects.</p> Signup and view all the answers

<p>The primary reason is to identify the possibility of obstructive sleep apnea, and if the client replies affirmatively, the nurse should refer them to a specialist in sleep disorders medicine.</p> Signup and view all the answers

<p>Assessing presleep routines is crucial because they can affect a client's sleep quality. Altering or eliminating these routines can disrupt sleep patterns and make it difficult for clients to fall asleep or stay asleep.</p> Signup and view all the answers

<p>Common hygienic routines that precede sleep include washing the face and hands, brushing teeth, and voiding. These routines are important because they help create a relaxing environment and promote a sense of cleanliness and comfort, making it easier to fall asleep.</p> Signup and view all the answers

<p>Assessing environmental distractions is crucial because they can significantly impact sleep quality. Nurses can help clients address these distractions by suggesting strategies such as noise reduction techniques, using earplugs, or creating a sleep-conducive environment.</p> Signup and view all the answers

<p>Sleep-promoting strategies that nurses can suggest include bedtime rituals, creating a sleep-conducive environment, and reducing noise and environmental distractions. These strategies can improve sleep quality by promoting relaxation, reducing stress, and creating a comfortable sleep environment.</p> Signup and view all the answers

<p>Hypnotic medications and antidepressants can lead to a REM rebound effect when discontinued. Warning clients to expect a period of more intense dreams when these medications are discontinued can reduce their anxiety about this symptom.</p> Signup and view all the answers

<p>Beta-blockers can cause insomnia and nightmares. Bronchodilators, on the other hand, can help reduce nighttime coughing and promote better sleep.</p> Signup and view all the answers

<p>Caffeine can stimulate the cerebral cortex to increase alertness. However, consuming caffeine in large amounts or close to bedtime can disrupt sleep hygiene and make it challenging to fall asleep.</p> Signup and view all the answers

<p>Narcotics, such as morphine, can suppress REM sleep. Strategies to promote sleep quality include establishing a consistent sleep schedule, creating a sleep-conducive environment, and avoiding stimulating activities before bedtime.</p> Signup and view all the answers

<p>Steroids can cause sleep disruption and other psychostimulant effects, such as mood swings, nervousness, psychoses, and delirium. Minimizing the dosage and duration of steroid use, as well as promoting sleep-promoting strategies, can help minimize these effects.</p> Signup and view all the answers

<p>Adjustments can include ensuring the environment is warm and safe, providing comfort measures, and enhancing the sense of safety and security by checking on clients frequently and making sure the call light is within reach.</p> Signup and view all the answers

<p>The nurse can reduce or eliminate the consumption of caffeine and nicotine, and provide comfort measures such as analgesics and proper positioning to promote sleep.</p> Signup and view all the answers

<p>None are explicitly mentioned in the text. However, it can be inferred that maintaining a clean and comfortable environment, as well as promoting proper positioning and hygiene, can contribute to a restful sleep.</p> Signup and view all the answers

<p>The nurse can focus on resolving the underlying problem, such as addressing pain or physical distress, and evaluate the situation to understand what the rest and sleep disturbances mean to the client.</p> Signup and view all the answers

<p>None are explicitly mentioned in the text. However, it can be inferred that reducing noise levels, using earplugs or white noise machines, and ensuring proper breathing techniques can contribute to a restful sleep.</p> Signup and view all the answers

<p>It may induce sleep</p> Signup and view all the answers

<p>Nicotine has a stimulating effect on the body, leading to difficulty falling asleep and light sleep</p> Signup and view all the answers

<p>It usually leads to better sleep</p> Signup and view all the answers

<p>No, motivation is usually not sufficient to overcome the normal circadian drive to sleep</p> Signup and view all the answers

<p>They can suppress REM sleep and cause frequent awakenings and drowsiness</p> Signup and view all the answers

<p>They can cause insomnia and nightmares</p> Signup and view all the answers

<p>They can interfere with REM sleep</p> Signup and view all the answers

<p>Boredom</p> Signup and view all the answers

<p>It can increase alertness in certain situations, such as attending an interesting concert or surfing the web late at night</p> Signup and view all the answers

<p>Drinking warm milk</p> Signup and view all the answers