Question

Which client likely faces a risk for the nursing diagnosis of Disturbed Sleep Pattern: Difficulty Remaining Asleep?

a. A client who receives IV antibiotics every 3 hours
b. A client whose opioid analgesics result in CNS depression
c. A client who requires blood glucose checks 4x daily
d. A client whose physical therapy has been scheduled for 4:30 PM

Answer 1

The client likely facing the risk for the nursing diagnosis of Disturbed Sleep Pattern, specifically having difficulty remaining asleep, is the one receiving IV antibiotics every 3 hours, as the frequent interruptions can significantly disrupt sleep, especially the non-REM cycle.

Step-by-step explanation:

Disturbed Sleep Pattern and Its Risks

The client most at risk for the nursing diagnosis of Disturbed Sleep Pattern: Difficulty Remaining Asleep is a client who receives IV antibiotics every 3 hours. This is because the frequent interruptions for medication administration can prevent the patient from maintaining the deep, restorative stages of sleep, particularly the non-REM (NREM) sleep characterized by delta waves, which are critical for quality rest. Opioids, while causing CNS depression, can actually aid in continous sleep, rather than disturb it due to their sedative properties. The client who requires blood glucose checks 4 times daily is less likely to be affected during the night, assuming the checks are spaced throughout the day. Lastly, the scheduling of physical therapy, even late in the afternoon, does not inherently disturb sleep patterns unless it stimulates the patient excessively close to bedtime.

Insomnia, including difficulty remaining asleep, can be highly detrimental to physical and mental health. It can be triggered by environmental disruptions, such as noises or lights, as well as by certain medical treatments that require regular nocturnal interventions. In this case, the regular disruption caused by IV antibiotics can disrupt the circadian rhythm, an individual's internal biological clock that signals sleep and wake times over a roughly 24-hour period.

Treatments for sleep disturbances like insomnia can include cognitive-behavioral therapy, which focuses on modifying problematic behaviors and thought patterns related to sleep. Ensuring that medical treatments do not interfere with sleep, when possible, is also an essential component of managing and improving sleep disturbances.