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Week 5 Nursing Conce
Week 5 Obstructive Sleep Apnea
| Question | Answer |
|---|---|
| Obstructive sleep apnea is associated with which pathologic conditions? | - hypopnea - hypoxemia - decreased airflow' - narrowing of air passages |
| Select the risk factors that increase the likelihood of obstructive sleep apnea. | -age -smoking -facial fracture |
| Which signs and symptoms are clinical manifestations of obstructive sleep apnea? | - changes in mood - falling asleep during work - waking up several times per night |
| BiPAP | has dual pressure settings, allowing the patient to get more air in and out of their lungs easier. BiPAP is commonly used as therapy when CPAP is not successful in reducing apneic episodes. |
| CPAP | provides constant positive pressure which keeps the airways open. This is a necessary intervention for sleep apnea. |
| A patient undergoes a genioglossal advancement and hyoid myotomy. Which nursing education topic is appropriate to discuss with this patient following surgery? | Potential complications |
| A patient with obstructive sleep apnea is still experiencing daytime sleepiness and cognitive problems after using continuous positive airway pressure (CPAP) during sleep. What is the next step in this patient’s treatment? | Obtain a consult for an uvulopalatopharyngoplasty |
| The nurse reviews the polysomnogram report of a patient not previously treated for sleep apnea. The patient experienced 23 apnea/hypopnea events per hour for most of the night. What treatment would the nurse anticipate being prescribed for this patient? | Continuous positive airway pressure (CPAP) |
| What happens to the patient physiologically during an apneic period? | Blood carbon dioxide levels rise |
| If a patient’s sleep apnea is left untreated, which serious consequences may develop? | - death' - marital problems - difficulty holding a job |
| A patient reports daytime sleepiness and indicates that he thinks he has sleep apnea. What is the initial assessment performed to evaluate this patient’s suspicion? | Sleep history review |
| Which statement by the patient demonstrates an understanding of treatment for obstructive sleep apnea? | “CPAP can improve my concentration.” |
| A patient is diagnosed with obstructive sleep apnea and provided with a CPAP mask and device to use. A month later and reports no reduction in symptoms. Which question by the nurse would elicit the most appropriate additional information from the patient? | “Are you experiencing problems with your mask?” |
| What is an appropriate response to a patient with a history of heart failure who asks why it is important to treat sleep apnea? | "Untreated sleep apnea can worsen heart failure." |
Created by:
Brandi Sizemore
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