7 NCLEX TIPS 7 NCLEX TIPS 1. Routine sleep schedule 5. NO naps in the late afternoon/evening Go to bed & wake up at the same time each day Limit naps to 20 minutes x 2 per day ATI 2. Nighttime 6. Hospital Setting Quiet, cool, dark room “Lower the temperature” NO turning off equipment alerts at night → SAFETY RISK! “Dimming the lights” NO increasing sedation at night 3. Daytime “Determine client’s usual bedtime & plan Sunny, bright, & active! for bedtime routines” HESI “Open the window blinds/shades in morning” “Schedule activities & interventions” 7. Avoid these 4 - 6 hours before bed 4. Reduce stimuli in the bedroom Caffeine (soda, coffee, tea, chocolate, Avoid “non-sleep related activities” “hot chocolate”) Saunder’s No TV, phone, working, reading in bed Nicotine (cigarettes, chewing tobacco) (BEST to read in “another room”) ATI Alcohol - “NO routine glass of wine at night” ATI Exercise & strenuous activity “Avoid exercise in late afternoon” ATI Top Missed NCLEX Question Going to bed hungry Which nursing interventions will the nurse implement to help Spicy food before the critically ill client have restful sleep while in the hospital? Large meals or snack right before bed Select all that apply. Opening the window blinds & curtains in the morning AVOID for sunlight Increase the sedation dosage during usual evening hours 20 mins x2 Silence all alarms during designated quiet times on the unit Z
Scheduling interventions and activities during the day
Z Z Z
when possible Turning down or dimming the lights at night
Nursing Process Nursing Process
Relating to sleep disorders Relating to sleep disorders A - Assessment A - Assessment Ask the client about sleep patterns, history of D - Diagnoses (Nursing Diagnosis) sleep disorders, or any changes in life that may be affecting sleep such as: P - Plan Stress Environment I - Implementation (Nursing Interventions) Diet Consider the hospital environment, sleep is Meds needed to heal but is the hospital conducive to Substance use (caffeine, nicotine, alcohol) sleep? What can you do? D - Diagnoses (Nursing Diagnosis) Establish a routine Disturbed sleep pattern r/t Limit waking if possible Anxiety (cluster care at night) Medication CPAP for apnea if needed Alteration in client routine OTC meds like melatonin or P - Plan chamomile for rest Client will sleep 8 hours each night, Prescription meds for sleep as a last resort beginning with lights out at 10:00pm E - Evaluation Client will be provided a quiet, cool, dark room away from the nurses station with a Did the client sleep 8 hours each night, room temp. at 68 degrees. beginning with lights out at 10:00pm?