The nurse reviews an inpatient sleep plan. Which actions require follow-up? Highlight the actions that create avoidable barriers to restorative sleep.
Highlight in Table
Choose your responses, then check the answer.
Explanation
Waking the client for a deferrable weight, leaving bright media stimulation on, and offering caffeine late at night require follow-up. Individualized assessment, clustered care, symptom relief, and preserved safety support sleep.
Quick answer Highlight waking the client in the early morning for a nonurgent weight that may be deferred, leaving the television and overhead lights on, and offering caffeinated coffee at 2100. Each action adds an avoidable sleep disruptor.
Why this is correct Hospital sleep improves when nurses assess individual disturbing factors, collaborate on a plan, reduce noise and light, cluster safe care, and address pain or toileting needs. Sleep promotion must remain individualized and cannot override urgent monitoring or prescribed safety precautions.[2]
Easy analogy or mental picture Think of sleep as a runway that needs a clear stretch for landing. Every unnecessary light, sound, stimulant, or interruption resets the approach; the image explains continuity but does not justify delaying essential clinical care.
NCLEX decision rule For basic comfort, remove modifiable barriers and coordinate nonurgent care around the client’s preferences while continuing essential assessments, alarms, medications, and safety measures.
Why the other choices are wrong Asking about preferences, clustering compatible tasks, offering earplugs when safe, treating pain and toileting needs, preserving the fall alarm, and reviewing medication timing are patient-centered actions. They promote rest without withholding necessary care.
References
[1]
NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing
[2]
AHRQ: Sleep Promotion Toolkit for Hospitalized PatientsAgency for Healthcare Research and Quality