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 A

Explanation

A. Reinforce the need for adequate hydration: Adequate hydration is essential for liquefying secretions in the lungs, especially in clients with COPD who may have increased mucus production. Proper hydration also supports cardiovascular function, particularly in clients with peripheral vascular disease.

B. Provide typed instructions for healthy diet selections: While diet is important for overall health, hydration is the priority in this scenario due to the client's respiratory and vascular conditions.

C. Explain a daily regimen: While educating the client about a daily regimen is important, ensuring adequate hydration takes precedence in this situation.

D. Demonstrate specific strengthening exercises: While exercise is beneficial for clients with COPD and PVD, ensuring proper hydration is more critical for respiratory and cardiovascular function in this scenario.

A. Instruct client and family to reconsider end of life choices. B. Teach client how to use guided imagery, C. Record the client's desire to live. D. Encourage family to visit frequently. E. Encourage family to bring the client old photographs

Correct Answer is ["B","D","E"]

Explanation

A. Instructing the client and family to reconsider end of life choices may not be appropriate as it could cause additional stress and conflict during a sensitive time.

B. Teaching the client how to use guided imagery can be a helpful tool in managing anxiety and providing a sense of calm.
C. Recording the client's desire to live is important for documentation, but it does not directly assist in coping with feelings related to death and dying.
D. Encouraging family to visit frequently can provide emotional support and comfort to the client during this difficult time.
E. Encouraging family to bring old photographs can help the client reminisce and find joy in memories, which can be therapeutic.

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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

A client recovering from pneumonia who has a history of severe chronic obstructive pulmonary disease (COPD and peripheral vascular disease (PVD is being discharged from a skilled nursing facility. Which action is most important for the nurse to implement?

Correct Answer is A

Explanation

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Correct Answer is ["B","D","E"]

Explanation

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