Question

The nurse is caring for a patient who has not been able to sleep well while in the hospital, leading to a disrupted sleep-wake cycle. Which assessment findings will the nurse monitor for in this patient? (Select all that apply.)

a. Changes in physiological function such as temperature
b. Decreased appetite and weight loss
c. Anxiety, irritability, and restlessness
d. Shortness of breath and chest pain
e. Nausea, vomiting, and diarrhea
f. Impaired judgment

Answer 1

Assessments that the nurse monitor for in this patient are :

a. Changes in physiological function such as temperature

c. Anxiety, irritability, and restlessness

f. Impaired judgment

Step-by-step explanation:

The nurse should monitor the patient for changes in physiological function such as temperature (option a) as disrupted sleep-wake cycles can impact the body's ability to regulate temperature. Sleep disturbances often lead to alterations in circadian rhythm, affecting the normal fluctuations in body temperature. Monitoring for any abnormal changes in temperature is crucial in assessing the patient's overall well-being.

Additionally, anxiety, irritability, and restlessness (option c) are common psychological manifestations of sleep deprivation. Lack of adequate sleep can contribute to heightened levels of stress and anxiety, impacting the patient's mental health. Assessing for signs of emotional distress is essential in providing comprehensive care and addressing the patient's overall comfort and recovery.

Furthermore, impaired judgment (option f) is a critical assessment finding in individuals experiencing sleep disturbances. Sleep plays a crucial role in cognitive functioning, and disruptions can lead to impaired decision-making and concentration. By monitoring for signs of impaired judgment, the nurse can gain insights into the patient's cognitive status and tailor interventions to promote better sleep hygiene and overall well-being.