A nurse is assessing a client who has obstructive sleep apnea (OSA). Which of the following findings should the nurse expect?
Hypotension.
Pneumonia.
Decreased energy.
Thyroid disease.
The Correct Answer is C
The correct answer is: C. Decreased energy.
Choice A reason: Hypotension is not typically associated with obstructive sleep apnea (OSA). OSA is more commonly linked with hypertension due to the frequent arousals during sleep that activate the sympathetic nervous system, leading to increased blood pressure.
Choice B reason: Pneumonia is an infection of the lungs and is not a direct consequence of OSA. While OSA can affect the respiratory system, it does not cause pneumonia. However, individuals with OSA may have a higher risk of respiratory infections due to compromised breathing during sleep.
Choice C reason: Decreased energy is a common symptom of OSA. People with OSA experience repeated episodes of partial or complete upper airway obstruction during sleep, leading to disrupted sleep patterns and insufficient rest. This results in daytime sleepiness and fatigue, which are hallmark signs of the condition.
Choice D reason: Thyroid disease, specifically hypothyroidism, can be associated with OSA, but it is not a direct finding of the condition. Hypothyroidism can lead to changes in the soft tissues of the upper airway and contribute to the development of OSA, but it is not a symptom used to diagnose OSA.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Indomethacin (Indocin) is a nonsteroidal anti-inflammatory medication (NSAID). It is commonly used to reduce inflammation and relieve pain, making it a suitable choice for pain management in conditions where inflammation plays a role, such as arthritis or musculoskeletal injuries.
Choice B rationale:
Indomethacin is not typically categorized as an adjuvant analgesic. Adjuvant analgesics are medications that are not primarily designed for pain relief but may enhance the effects of analgesics when used in combination.
Choice C rationale:
Indomethacin is not a COX-2 inhibitor. COX-2 inhibitors are a specific class of NSAIDs that target the COX-2 enzyme while sparing COX-1. Indomethacin is a traditional NSAID that inhibits both COX-1 and COX-2.
Choice D rationale:
Indomethacin is not a narcotic analgesic. Narcotic analgesics, also known as opioids, are a separate class of medications used for the management of moderate to severe pain. Indomethacin does not belong to this class and has a different mechanism of action.
Correct Answer is A
Explanation
Choice A rationale:
True. As people age, it is common for them to experience more frequent awakenings during the night. This is often due to changes in sleep patterns, such as a decreased ability to maintain deep sleep, which can result in waking up more easily. Additionally, older adults may nap more during the day, which can affect their nighttime sleep patterns.
Choice B rationale:
False. Giving older adults hypnotics to induce better sleep is not a recommended approach as it may have adverse effects, including dependency and increased risk of falls. The focus should be on understanding and addressing the underlying causes of sleep disturbances in older adults.
Choice C rationale:
False. While it is important to assess and address sleep concerns in older adults, there is no fixed requirement of needing at least 10 hours of sleep a day to prevent fatigue. Sleep needs can vary, and older adults may require less sleep than younger individuals.
Choice D rationale:
False. Older adults may nap more during the day, but reducing daytime napping is not a guaranteed solution to improve nighttime sleep. Sleep patterns can change with age, and individual variations in sleep needs and habits should be considered.
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