A client with obstructive sleep apnea (OSA ambulates in the hallway with the nurse prior to bedtime and then returns to bed. Which intervention is most important for the nurse to implement before leaving the client?

Apply the client's positive airway pressure device.

Elevate the head of the bed to a 45-degree angle.

Remove dentures or other oral appliance.

Lift and lock the side rails in place.

Answer and Explanation

The Correct Answer is A

A. Applying the positive airway pressure (PAP) device is crucial for managing obstructive sleep apnea (OSA and ensuring the client receives continuous positive airway pressure during sleep to prevent airway obstruction.
B. Elevating the head of the bed may be helpful in managing OSA, but ensuring the client uses the PAP device takes precedence.
C. Removing dentures or other oral appliances may improve comfort but is not as essential as ensuring proper use of the PAP device.
D. Lifting and locking the side rails may be important for safety but is not directly related to managing OSA.

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Correct Answer is C

Explanation

A. Straining all urine is not a standard intervention for prostatitis. This is typically done for conditions like urinary stones, where fragments may need to be collected. Prostatitis does not require this intervention.

B. Maintaining contact isolation is unnecessary for prostatitis unless the client has an active infection with a multidrug-resistant organism requiring isolation precautions. Prostatitis alone does not warrant contact isolation.

C. Avoiding urinary catheterization is an essential instruction for a client with prostatitis. Catheterization can exacerbate inflammation and increase the risk of further infection in the prostate gland. Alternative methods for managing urinary retention, such as suprapubic catheterization if necessary, should be considered.

D. Restricting oral fluid intake is not recommended. Adequate hydration is important for clients with prostatitis to help flush the urinary tract, reduce irritation, and promote healing. Restricting fluids could worsen symptoms and delay recovery.

A. Replace the IV site with a smaller gauge B. Apply soft bilateral wrist restraints C. Leave the lights on in the room at night D. Redress the abdominal incision

Correct Answer is D

Explanation

A. Replacing the IV site with a smaller gauge does not address the issue of the client picking at the dressing and tape. It is important to address the primary concern, which is the integrity of the abdominal incision dressing.

B. Applying wrist restraints should be avoided unless absolutely necessary due to the risk of physical and psychological harm to the client. It is not the first-line intervention for addressing dressing and tape disruption.

C. Leaving the lights on in the room at night may help reduce confusion in some clients with dementia but does not address the immediate issue of the disrupted abdominal dressing and IV site.

D. Redressing the abdominal incision is the priority intervention to maintain the integrity of the surgical site and prevent infection. It also addresses the issue of the client picking at the dressing and tape, which could lead to further complications.

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A client with obstructive sleep apnea (OSA ambulates in the hallway with the nurse prior to bedtime and then returns to bed. Which intervention is most important for the nurse to implement before leaving the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assigning care of a client with prostatitis to a practical nurse (PN). Which instruction should the nurse provide the PN regarding the care of this client?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

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