Which information is most relevant for the nurse to teach a client about CPAP
therapy for OSA? SATA.
A) Avoid alcoholic beverages or drugs that make you sleepy within 3 hours of
bed time
B) Clean the mask device daily
C) Ensure your mask devices fits tightly enough to prevent air leaks
D) Keep open flames such as candles out of the room when CPAP is in use
E) Seal the mask edges to your face petroleum jelly
F) Use only sterile water in the humidifier tank
G) Use the CPAP during all sleep periods, especially in bed
H) Do not share your mask or tubing system with others Answer - B, C, G, H
When making rounds, the nurse observes that a cognitively impaired clients
has a partial airway obstruction from inspissation. What is the nurse's priority
action?
A) Place the bed in reverse Trendelenburg position and apply humidified
oxygen by nasal cannula
B) Check the flow sheet to assess for trends in the client's oxygen saturation
patterns
C) Determines which assistive personnel provided this client's morning care
today
,D) Immediately provide complete oral care to this client Answer - D)
Immediately provide complete oral care to this client
Which structures are the most critical to keep patent for effective gas
exchange? SATA.
A) Nose
B) Larynx
C) Trachea
D) Oropharynx
E) Laryngopharynx
F) Maxillary Sinuses Answer - B, C, D
Which statements about obstructive sleep apnea (OSA) are true? SATA.
A) A main feature is hypopnea
B) Results from chronic sinusitis
C) Associated with frequent nightmares
D) Most commonly diagnosed by flexible bronchoscopy
E) Causes fragmented nighttime sleep and daytime drowsiness
F) Is most common in people who have a longer than average neck length
Answer - A, C, E
With which client does the nurse anticipate possible complications from OSA
following abdominal surgery?
A) 28-year-old who is 80lb overweight and has a short neck
B) 48-year-old who has type I diabetes and chronic sinusitis
C) 58-year-old who has had gastroesophageal reflux disease for 10 years
D) 78-year-old who wears upper and lower dentures and has asthma Answer -
A) 28-year-old who is 80lb overweight and has a short neck
, Which subjective symptoms will the nurse expect a client with obstructive
sleep apnea to report or describe? SATA.
A) Excessive daytime sleepiness
B) Loss of taste sensation
C) Excessive production of sputum
D) Decreased ability to concentrate
E) Irritability
F) Heavy snoring Answer - A, D, E, F
Which actions will the nurse suggest to a client to improve mild sleep apnea?
SATA.
A) Sleeping on the side rather than in a supine position
B) Using CPAP every night
C) Losing weight to come within 10% of his or her ideal weight
D) Using an oral position-fixing device to prevent tongue subluxation
E) Consulting with an oral surgeon about removal of wisdom teeth
F) Taking an over-the-counter sleep aid to achieve a deeper sleep Answer - A,
C, D
For which possible long-term health changes will the nurse assess a client who
has moderate to severe OSA? SATA.
A) Anemia
B) COPD
C) Decreased Cognition
D) Diabetes Mellitus
E) Resistant Hypertension
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