A community health nurse is developing a brochure about obstructive sleep apnea (OSA). Which of the following potential complications of OSA should the nurse include?
Enlarged adenoids
Diabetes mellitus
Nasal polyps
Heart failure
The Correct Answer is D
A. Enlarged adenoids Enlarged adenoids may contribute to airway obstruction, especially in children, but they are not a complication of OSA.
B. Diabetes mellitus While OSA is associated with an increased risk of insulin resistance and metabolic syndrome, it is not a direct complication.
C. Nasal polyps Nasal polyps can contribute to breathing difficulties but are not a complication of OSA.
D. Heart failure OSA can lead to chronic hypoxia and increased cardiac workload, contributing to conditions such as hypertension, arrhythmias, and heart failure.
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Related Questions
Correct Answer is D
Explanation
A. Consult the social worker to speak with the client about support groups. While a social worker can be a valuable resource, advocacy involves the nurse directly supporting the client rather than referring them to another professional as the primary action.
B. Help the client make decisions about their treatment by providing them with your opinions. Advocacy means ensuring the client has accurate, unbiased information to make informed decisions, not influencing them with personal opinions.
C. Provide the client with a computer to look up questions they have about their diagnosis. While access to information is important, the nurse should provide evidence-based resources and ensure the client receives accurate, professional guidance.
D. Avoid discussing alternative treatments that may have the potential to harm the client. Advocacy includes ensuring the client is aware of safe and effective treatment options while protecting them from misinformation or potentially harmful alternatives.
Correct Answer is B
Explanation
A. Plan to assign a different nurse to the client each shift. Assigning different nurses each shift disrupts continuity of care. Whenever possible, consistent nursing assignments improve client outcomes.
B. Start discharge planning on the day of admission. Discharge planning should begin upon admission to ensure a smooth transition of care, reduce hospital readmissions, and promote better long-term outcomes.
C. Request that the client complete a satisfaction survey at discharge. While client feedback is valuable, it does not directly contribute to continuity of care during the hospital stay.
D. Limit the number of interdisciplinary team members managing the client's care. Interdisciplinary collaboration (e.g., physicians, nurses, physical therapists, social workers) is crucial in providing comprehensive and continuous care, especially for complex cases.
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