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OMSB_OEN Exam - Topic 4 Question 44 Discussion

Posted by Genevive on Jun 28, 2026 at 03:14 PM

A nurse is preparing a care plan for a patient with kidney failure on maintaining optimal sleep and comfort level.

Which of the following sleep disorders require priority intervention?

Suggested Answer: C

Sleep Disorders in Kidney Failure:

Patients with kidney failure often experience various sleep disturbances due to factors like uremic toxins, restless legs syndrome, and sleep apnea.

Priority Intervention:

Somnolence and Parasomnia: These are conditions where patients may feel drowsy or experience abnormal behaviors during sleep, but they are not as immediately concerning.

Hypersomnia: Excessive sleepiness can significantly impact daily functioning and quality of life, making it a priority for intervention.

Somnambulism: Sleepwalking can pose safety risks but is less common and usually less impactful than hypersomnia in kidney failure patients.


National Kidney Foundation (NKF)

American Academy of Sleep Medicine (AASM)

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21 comments · newest first
JA
Janna 2 days ago
Right, but we can't ignore daytime sleepiness either.
ME
Mertie 7 days ago
Plus, managing sleep quality is essential for recovery.
MA
Maryln 12 days ago
True, safety first! Parasomnia can lead to injuries.
JA
Jackie 17 days ago
But Sam, if they’re sleepwalking, they could hurt themselves.
JA
Janna 23 days ago
I feel A) Somnolence is more critical. Patients need alertness.
ME
Mertie 28 days ago
Agreed, Maryln. Sleepwalking can be dangerous.
MA
Maryln 1 month ago
I think B) Parasomnia needs priority. It's disruptive.
FE
Felicia 1 month ago
Definitely agree that hypersomnia needs attention first!
RE
Reita 1 month ago
Wait, are we sure parasomnia is that common in kidney failure?
RO
Roselle 2 months ago
Somnambulism seems less urgent compared to the others.
MA
Ma 2 months ago
I think somnolence should be prioritized too!
KE
Kendra 2 months ago
Hypersomnia can really affect their quality of life.
EV
Eva 2 months ago
Yeah, but it can lead to injuries! Definitely needs attention.
FI
Filiberto 2 months ago
Wait, somnambulism? Isn't that just sleepwalking?
LU
Luisa 2 months ago
Parasomnia sounds pretty serious too, though.
LA
Latrice 3 months ago
I think somnolence should be the priority, right?
MO
Mozell 3 months ago
Hypersomnia can really mess with their daily life.
YU
Yuette 3 months ago
I feel like somnambulism is less common, but I wonder if it should be prioritized in this case.
CH
Chanel 3 months ago
I practiced a similar question before, and I think somnolence could be a big concern for patients with kidney issues.
LE
Leonora 3 months ago
I think parasomnia might be a priority because it can lead to safety issues, but I'm not entirely confident.
RI
Richelle 4 months ago
I remember discussing sleep disorders in class, but I'm not sure which one is most critical for kidney failure patients.
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