A nurse is assessing a client who has obstructive sleep apnea. Which of the following findings should the nurse expect?
Headache
Nausea
Hypotension
Constipation
The Correct Answer is A
A) Headache:
Clients with obstructive sleep apnea often experience morning headaches due to the intermittent hypoxia and hypercapnia that occur during episodes of apnea. These headaches are typically described as dull and diffuse and may improve throughout the day.
B) Nausea:
While gastrointestinal symptoms such as nausea can occur in some individuals with sleep apnea, it is not a typical or specific finding associated with this condition. Nausea may result from other causes, such as medication side effects or underlying gastrointestinal issues, rather than directly from obstructive sleep apnea.
C) Hypotension:
Obstructive sleep apnea is more commonly associated with hypertension rather than hypotension. The recurrent episodes of hypoxemia and sympathetic nervous system activation during apneic episodes can lead to systemic hypertension over time.
D) Constipation:
Constipation is not a typical finding associated with obstructive sleep apnea. While sleep apnea may contribute to fatigue and alterations in gastrointestinal motility in some individuals, constipation is not a direct consequence of this sleep disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. A client who has stage IV breast cancer and is expected to live 3 months:
This client is eligible for hospice care because they have a terminal illness (stage IV breast cancer) with a prognosis of less than six months to live if the disease follows its typical course. Hospice care focuses on comfort and quality of life in the final months of life.
B. A client who has a diagnosis of COPD and requires supplemental oxygen:
This client is not automatically eligible for hospice care based solely on a COPD diagnosis and the need for supplemental oxygen. Eligibility for hospice would require a prognosis of six months or less to live if the disease follows its usual course. More specific criteria, such as frequent hospitalizations or a significant decline in functional status, would need to be met.
C. A client who has end-stage kidney disease and has stopped dialysis:
This client is eligible for hospice care because stopping dialysis typically indicates that the client has a limited life expectancy, usually measured in weeks to months. Hospice care can help manage symptoms and provide support for end-of-life care.
D. A client who has type 1 diabetes mellitus and is on an insulin pump:
This client is not eligible for hospice care based solely on the presence of type 1 diabetes mellitus and the use of an insulin pump. Hospice care eligibility is generally for clients with a terminal diagnosis and a life expectancy of six months or less if the disease follows its usual course.
E. A client who has terminal lung cancer and has discontinued all treatment:
This client is eligible for hospice care because they have a terminal illness (lung cancer) and have chosen to discontinue curative treatment. Hospice care focuses on palliative treatment to improve the quality of life and manage symptoms during the end-of-life stage.
Correct Answer is B
Explanation
A. Chronic drainage of fluid through the incision site:
While chronic drainage of fluid through the incision site can be a sign of wound complications, such as infection or poor wound healing, it is not as specific an indicator of impending wound dehiscence as the patient's report of "something giving way."
B. Report by patient that something has given way:
A patient reporting that something has given way is a significant indicator of potential wound dehiscence. Wound dehiscence refers to the partial or complete separation of the layers of a surgical wound, which can occur due to various factors such as poor wound healing, infection, or increased intra-abdominal pressure. Patients may describe a sensation of "something giving way" or "popping" if the wound starts to separate.
C. Drainage that is odorous and purulent:
Odorous and purulent drainage from an incision site may indicate an infection, which can contribute to wound dehiscence. However, this finding alone may not necessarily indicate immediate wound dehiscence.
D. Protrusion of visceral organs through a wound opening:
Protrusion of visceral organs through a wound opening is a severe complication known as evisceration, which is the most advanced stage of wound dehiscence. While this finding is indicative of a significant wound complication, it typically occurs after the initial separation of wound layers. Therefore, it is not an early sign that would alert the nurse to potential wound dehiscence
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
