NUR 242 Exam 3 Respiratory Set
Questions With Verified Solutions.
What is sleep apnea? - Answer person stops breathing for at least 10 seconds repeatedly during sleep
What is the most common cause of sleep apnea? - Answer obstructive sleep apnea
What is the pathophysiology of obstructive sleep apnea? - Answer airway is restricted as a result of
tissue collapse in the airway
How is pharyngeal space decreased during sleep? - Answer muscle in airway relax causing tongue and
soft palate to be come displaced
What are the risk factors for obstructive sleep apnea - Answer obesity, large neck circumference,
narrowed airway, chronic nasal congestion, allergic rhinitis, smoking, diabetes, family history, asthma,
non-white, age 50-59, male, recessed lower jaw
What defines large neck circumference? - Answer Men neck > 17in; Women neck >16 inches
What is the stereotype for obstructive sleep apnea? - Answer obese, middle aged male
Obstructive sleep apnea symptoms at night - Answer snoring, restlessness, nocturia, gasping for air,
choking, apneic events(minimum of 10sec), sweating
Obstructive sleep apnea daytime symptoms - Answer exhaustion, irritability, morning headaches,
memory loss, dry mouth
Consequences of obstructive sleep apnea - Answer relationship tensions, hypertension, right sided
heart failure, pulmonary hypertension, arrhythmias, myocardial infarction, angina, hypoxia,
polycythemia Vera
, How does obstructive sleep apnea get diagnosed? - Answer formal sleep study
What is the non-surgical treatment of obstructive sleep apnea? - Answer weight loss, avoid alcohol,
avoid sedatives, avoid smoking, sleep on side, elevate head of the bed, intra-oral devices, CPAP
What does a CPAP do? - Answer prevents airway collapse by using the continuous pressure to keep
bronchioles and alveoli slightly open
What are the surgical treatments for obstructive sleep apnea? - Answer T&A (peds), nasal surgery,
UPPP, oral appliance
What does an oral appliance do to treat obstructive sleep apnea? - Answer moves the jaw forward to
reduce the narrowing of the airway that exists
What is asthma? - Answer chronic obstructive pulmonary disease of the airway that occurs from
inflammation and hyper responsive ness
Is asthma reversible? - Answer Yes, if caught early enough but too much time causes scaring and then it
cannot be reversed
What assessment findings would you expect to see in a patient with asthma? - Answer chest tightness,
dyspnea, wheezing, cough, accessory muscle use, tachypnea
What are the triggers of asthma? - Answer idiopathic, exercise, infection, GERD, air pollution, allergens,
medications
What are the normal symptoms of asthma? - Answer short of breath, increased respiratory rate,
coughing, chest tightness, dyspnea, wheezing (esp on exhalation)
What are the alarm symptoms of asthma? - Answer use of accessory muscles, decreased breath
sounds, diaphoresis, cough that will not stop, silent chest
