42. An adolescent with juvenile idiopathic arthritis has daytime sleepiness. The nurse would encourage:
Select all that apply.
42. An adolescent with juvenile idiopathic arthritis has daytime sleepiness. The nurse would encourage:
Select all that apply.
. Scheduling 8 to 10 hours of nighttime sleep.
. Use of a firm mattress.
. Daytime naps.
. Implementing relaxation techniques prior to bedtime.
Test-Taking Tip
Eliminate one obviously incorrect option: sleep in the daytime, which would not help to sleep at night.
Content Area: Child Health, Musculoskeletal; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Basic Care and Comfort/Rest and Sleep
. . .
Answer 1 is correct because 8 to 10 hours of nighttime sleep is required by all adolescents, especially an adolescent with a chronic disease process. Getting the correct number of nighttime hours of sleep may prevent daytime sleepiness. Answer 2 is correct because a firm mattress will maintain skeletal alignment, which will reduce stiffness and pain and promote nighttime sleep, which may prevent daytime sleepiness. Answer 3 is incorrect because daytime naps are discouraged. The inactivity promotes stiffness, and prolonged naps can interfere with sleepiness at bedtime. Fatigue should be handled with rest rather than sleep. Answer 4 is correct because implementing relaxation techniques prior to bedtime (listening to music, meditation, etc.) may promote nighttime sleep, which may prevent daytime sleepiness.