Fundamentals of Nursing: Pain, Rest, Sleep, and Comfort

Introduction

• This presentation covers key concepts in the fundamentals of nursing related to pain, rest, sleep, and comfort.
• Follow Professor D on TikTok and YouTube: handle 'NexisNursing'.
• Offers audio lessons and a podcast available on major streaming platforms.
• Website: nexusnursinginstitute.com for audio lessons.

Key Concepts and Questions

Question 1: Shortened NREM Sleep

• Correct Answer: 2. Excessive sleepiness
• Shortened Non-Rapid Eye Movement (NREM) sleep leads to excessive sleepiness and fatigue.
• How to deduce the answer: Only option related to sleep.

Question 2: Shortest Acting Pain Relief

• Correct Answer: 3. IV narcotics
• IV medications have the quickest onset but also the shortest duration.
• Other options explained:
  • PCA: Intermittent, lasts hours to days.
  • IM sedatives: Lasts about 3-4 hours.
  • Regional anesthesia: Lasts about 1-3 hours.

Question 3: Concepts Associated with Sleep

• Correct Answer: 1. Bedtime routines
• Establishing bedtime routines helps prepare the brain for sleep.
• Incorrect options explained:
  • Alcohol intake does not interfere; it's a depressant.
  • Sleep needs do not remain consistent; they vary with age and activity level.
  • Time in bed usually increases with age.

Question 4: Nursing Diagnosis for ICU Patient

• Correct Answer: 1. Risk for disturbed thought process
• Long ICU stays can lead to ICU psychosis (out of touch with reality).
• Reversible condition.

Question 5: Internal Stimulus Interfering with Sleep

• Correct Answer: 2. Full bladder
• Most common cause along with risks of confusion and fall in older patients.
• Other options can interfere but are less common.

Question 6: Characteristic of Pain

• Correct Answer: 3. Location
• Pain described as moving from one area to another indicates location.
• Other options explained:
  • Pattern: Onset, duration, remission.
  • Duration: Amount of time pain lasts.
  • Constancy: Ongoing or intermittent.

Question 7: Psychological Response to Pain

• Correct Answer: 1. Experiencing fear related to loss of independence
• Chronic pain leads to fear of dependency and loss of control.
• Other options are physiological or behavioral responses.

Question 8: Responding to Post-Op Pain

• Correct Answer: 4. Administer ordered pain medication
• Major surgery: pain medication should be given as ordered.
• Pain management is a priority over non-pharmacological interventions.

Question 9: Nurse Intervention for Narcolepsy

• Correct Answer: 4. Risk for injury
• Ensuring patient safety is the primary concern.

Question 10: Best Sleeping Position for GERD

• Correct Answer: 1. Semi-Fowler's position
• Gravity helps keep stomach contents from entering esophagus.
• Other positions may increase pressure on the abdomen.

Question 11: Importance in Pain Management

• Correct Answer: 3. Person experiencing pain is the authority
• Pain is subjective, and what the patient says should be taken as fact.

Question 12: Anxiety Affecting Sleep

• Correct Answer: 1. Onset
• Anxiety makes it difficult for the patient to fall asleep.

Question 13: Initial Response to Pain Medication Request

• Correct Answer: 4. Assess the various aspects of the patient's pain
• First step: Assessment (Adpie: Assess, Diagnose, Plan, Implement, Evaluate)
• Gather information about the pain.

Question 14: Precipitating Factor Associated with Pain

• Correct Answer: 2. Pain after dressing
• Precipitating factors induce or worsen pain.
• Other options describe effects or sensations during pain.

Question 15: Supporting Sleep in Hospital

• Correct Answer: 2. Limiting unnecessary noise
• Noise is the most disturbing factor in hospital settings.

Question 16: Chronic Pain Management

• Correct Answer: 2. Focus on pain management before pain is excessive
• Better to manage pain before it becomes severe.