As a pulmonary nurse, a significant proportion of your nursing care is spent in dealing with...

As a pulmonary nurse, a significant proportion of your nursing care is spent in dealing with patients who have sleep disturbances, some resulting in the need for a sleep study. The patient with whom you are collaborating is a nursing student who is in his final year of nursing school and is “constantly sleepy.” The student describes his frequent inability to sleep and only getting 2 to 3 hours of sleep per night for the last 4 months. His wife, accompanying him to this appointment, reports he snores loudly and during a large percentage of his sleep time. (Learning Objectives 6 and 7)
1. Which factors in the nursing student’s life could be contributing to his sleeplessness?
2. Outline sleep hygiene recommendations that could increase his sleep time.
3. How would you categorize the patient’s insomnia?
4. What signs indicate the possibility of sleep apnea?
5. List appropriate etiologies for sleep deprivation nursing diagnoses for this patient.

Expert Solution

a. Factors in the nursing student’s life contributing to his sleeplessness are probable sleep apnea evident from snoring and the stress from the demanding nature of the nursing course in terms of credits in the final year.

b. Sleep hygiene recommendations that could increase the nursing student's sleep time are:

1. Sleep in a side sleeping position.

2. Try to maintain a regular sleep pattern.

3. Avoid staying awake in bed for more than 10 minutes.

4. Exercise regularly.

5. Avoid using a mobile phone or laptop in bed.

6. Avoid caffeinated drinks after the evening.

7. Sleep in a quiet dark bedroom.

c. The patient’s insomnia can be categorized as chronic maintenance insomnia due to his inability to stay asleep.

d. Signs that indicate the possibility of sleep apnea are snoring, inability to stay asleep after 2-3 hours of sleep, and constant sleepiness during the daytime.

e. Appropriate etiologies for sleep deprivation are:

1. Probable sleep apnea as evident from snoring etc.

2. Stress.

Nightingale answered 2 years ago

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