A client with obstructive sleep apnea is preparing for sleep. Which action should the practical nurse (PN) implement?

Assist in turning the client to one side.

Keep oral suction equipment nearby.

Offer to bring the client a sleeping pill.

Place a cool air humidifier in the room.

Answer and Explanation

The Correct Answer is A

The correct answer is Choice A:

Assist in turning the client to one side. Choice A rationale:

When preparing a client with obstructive sleep apnea for sleep, the practical nurse (PN) should assist the client in turning to one side. This position is known as the lateral position and can be beneficial for clients with obstructive sleep apnea. Lying on one's side can help to reduce the likelihood of airway obstruction and minimize the occurrence of apnea (pauses in breathing) during sleep. This position promotes better airflow and can improve the client's overall sleep quality.

Choice B rationale:

Keeping oral suction equipment nearby (Choice B) might be appropriate for clients with respiratory issues or a risk of airway obstruction. However, it is not the best action for a client with obstructive sleep apnea. Sleep apnea primarily involves upper airway collapse, not excessive secretions or obstructions in the oral cavity.

Choice C rationale:

Offering to bring the client a sleeping pill (Choice C) is not an appropriate action for a client with obstructive sleep apnea. Sleep apnea is characterized by repeated episodes of blocked or restricted airflow during sleep. Sedative medications can further relax the muscles in the airway, worsening the condition and potentially leading to more severe apnea.

Choice D rationale:

Placing a cool air humidifier in the room (Choice D) may be helpful for clients who experience dryness or congestion in the airways during sleep. However, it is not specifically indicated for obstructive sleep apnea. While humidifiers can be beneficial for some sleep-related issues, they do not address the underlying cause of sleep apnea.

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Correct Answer is C

Explanation

Croup is a respiratory infection that causes inﬂammation and narrowing of the airway, resulting in a barking cough, hoarseness, and stridor. The PN should monitor the child's oxygen saturation level via pulse oximetry, as it can indicate the severity of the airway obstruction and the need for supplemental oxygen or other interventions.

The other options are not correct because:

A. Instructing the mother to play with the child for stimulation and distraction may worsen the child's condition, as it can increase his respiratory demand and anxiety.

B. Administering a dose of acetaminophen as needed may help reduce fever or pain, but it does not address the underlying cause of croup or improve airway patency.

D. Encouraging the child to drink adequate amounts of ﬂuids may help prevent dehydration and thin the secretions, but it does not relieve the inﬂammation or narrowing of the airway.

A. Administer a prescribed PRN dose of analgesic. B. Obtain an oxygen tank for home administration. C. Give the next prescribed dose of antiviral medication. D. Notify the nursing supervisor of the uncontrolled pain.

Correct Answer is A

Explanation

This is the best action for the PN to take because it provides immediate relief for the client's pain, which can be severe and debilitating in Herpes zoster. The PN should also assess the client's pain level, location, and characteristics and document the response to the medication.

B. Obtaining an oxygen tank for home administration is not indicated for this client and does not address his pain issue. Herpes zoster does not aﬀect the respiratory system and does not cause hypoxia or dyspnea.

C. Giving the next prescribed dose of antiviral medication is not a priority for this client and may not have an immediate eﬀect on his pain. Antiviral medication can help reduce the duration and severity of Herpes zoster, but it does not provide analgesia.

D. Notifying the nursing supervisor of uncontrolled pain is not a priority for this client and may delay his pain relief. The PN should notify the nursing supervisor only if the prescribed analgesic is ineﬀective or causes adverse eﬀects.

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A client with obstructive sleep apnea is preparing for sleep. Which action should the practical nurse (PN) implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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