The nurse is sure to implement strategies to reduce noise on the unit particularly on the ______ night of admission when the client is especially sensitive to hospital noises.
A. 1st
B. 2nd
C. 3rd
D. 4th
Correct Answer: A. 1st
The client is most sensitive to noise in the hospital setting the first night because everything is new. This represents sensory overload, which interferes with sleep and decreases rapid eye movement (REM) as well as total sleep time. Place the client in a room away from any distractions or noise such as the nursing station. The nursing station is often the center of noise and activity.
Option B: Eliminate any activities that are not important. This measure facilitates minimal interruption in sleep or rest. Render bedtime nursing care such as back rub and other relaxation techniques. These kinds of activities facilitate relaxation and promote the onset of sleep.
Option C: Educate the client about their sleep requirements. Most people need at least six hours of sleep for normal memory and brain function. Attempt to allow for sleep cycles of at least 90 minutes. Research shows that 60 to 90 minutes are necessary to complete one sleep cycle and that completion of an entire sleep cycle is beneficial.
Option D: Introduce relaxing activities such as a warm bath, calm music, reading a book, and relaxation exercises before bedtime. These activities provide relaxation and distraction to prepare the mind and body for sleep. Encourage daytime physical activities but instruct the patient to avoid strenuous activities before bedtime.
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