A nurse is assessing a client who has obstructive sleep apnea. Which of the following findings should the nurse expect?

Headache

Nausea

Hypotension

Constipation

Answer and Explanation

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.

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

Explanation

A) Codeine:
Codeine is an opioid analgesic and is not classified as a nonopioid analgesic.
B) Ibuprofen:
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) and is considered a nonopioid analgesic. It works by reducing inflammation and pain without producing the same addictive effects as opioids.
C) Fentanyl:
Fentanyl is a potent opioid analgesic and is not classified as a nonopioid analgesic.
D) Oxycodone:
Oxycodone is an opioid analgesic and is not classified as a nonopioid analgesic.
E) Acetaminophen:
Acetaminophen, also known as paracetamol, is a nonopioid analgesic commonly used to relieve mild to moderate pain and reduce fever. It is not classified as an opioid and does not produce the same addictive effects.

A. "It's a good idea to help make sure your husband can sleep comfortably." B. "Why do you think your husband needs more medication when he is asleep?" C. "Next time you think he needs more medication, call me and I'll push the button." D. "Your husband should decide when more medication is needed."

Correct Answer is D

Explanation

A) "It's a good idea to help make sure your husband can sleep comfortably.":
This encourages the partner to administer medication, which can lead to overmedication and potential harm.

B) "Why do you think your husband needs more medication when he is asleep?":
This might cause the partner to feel defensive. It also does not provide the necessary education about the correct use of the PCA pump.

C) "Next time you think he needs more medication, call me and I'll push the button.":
This is inappropriate as well. It does not address the core issue that only the patient should be pressing the button to ensure safe and appropriate use of the PCA pump.

D) "Your husband should decide when more medication is needed.":
This educates the partner about the proper use of the PCA pump, emphasizing that only the patient should press the button to ensure they are receiving medication only when they feel pain. This minimizes the risk of overmedication and adverse effects.

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A nurse is assessing a client who has obstructive sleep apnea. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a class about the use of pain medications for clients who have an opioid addiction. Which of the following medications are a nonopioid analgesic? (Select All that Apply)

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

Explanation

A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense another dose. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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