3 - Sleep Hygiene

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Rest & Sleep II

Fundamentals of Nursing

Sleep Hygiene Sleep Hygiene


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?

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