A nurse is providing education to a client diagnosed with Obstructive Sleep Apnea (OSA). Which of the following signs and symptoms of OSA should the nurse include in the education? Select all that apply.

Dyspnea.

Insomnia.

Snoring.

Daytime sleepiness.

Dyspnea on exertion.

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale
Dyspnea, or difficulty breathing, is a common symptom of Obstructive Sleep Apnea (OSA). This occurs due to the repeated episodes of upper airway obstruction and resultant intermittent hypoxia.
Choice B rationale
Insomnia is not a typical symptom of OSA. While individuals with OSA may experience disrupted sleep, it is usually characterized by excessive daytime sleepiness rather than an inability to sleep.
Choice C rationale
Snoring is a hallmark symptom of OSA. It occurs due to the partial obstruction of the upper airway, which causes vibration of the tissues and results in the sound of snoring.
Choice D rationale
Daytime sleepiness is a common symptom of OSA. This is due to the repeated awakenings throughout the night to resume breathing, which disrupts the sleep cycle and leads to excessive sleepiness during the day.
Choice E rationale
Dyspnea on exertion is not a typical symptom of OSA. While it can occur in severe cases, it is more commonly associated with conditions that affect the heart or lungs, such as heart failure or chronic obstructive pulmonary disease.

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Correct Answer is B

Explanation

Choice A rationale
While ensuring that nurses demonstrate competency by passing a medication administration test is important, it is not the first step in developing a program to decrease medication administration errors. This strategy focuses on the individual skills of the nurses, but does not address the systemic issues that may have contributed to the errors.
Choice B rationale
Reviewing the circumstances leading up to each medication error is the first step in understanding why the errors occurred. This process allows the committee to identify patterns and common factors that contribute to errors. It is a crucial step in the development of effective strategies to prevent future errors.
Choice C rationale
Developing a quality improvement program for nurses involved in medication errors is a strategy that could be implemented after understanding the root causes of the errors. This approach ensures that the program addresses the specific issues that led to the errors.
Choice D rationale
Conducting an in-service training on medication administration for all nurses is a valuable strategy for preventing medication errors. However, it should be based on the findings from the review of the circumstances leading up to each error. Therefore, it is not the first strategy to consider.

A. It decreases trapped oxygen in the alveoli. B. It promotes independent breathing efforts. C. It keeps the airways and small lung spaces open. D. It facilitates weaning off the mechanical ventilator.

Correct Answer is C

Explanation

Choice A rationale
PEEP does not decrease trapped oxygen in the alveoli. Instead, it helps to increase the volume of gas remaining in the lungs at the end of expiration, which can improve oxygenation.
Choice B rationale
PEEP does not directly promote independent breathing efforts. It is a mode of mechanical ventilation used to support a patient’s breathing.
Choice C rationale
PEEP keeps the airways and small lung spaces open by increasing the pressure in the lungs at the end of expiration. This can prevent alveolar collapse and improve oxygenation in patients with conditions like ARDS23.
Choice D rationale
While PEEP can be used in the process of weaning a patient off mechanical ventilation, its primary benefit is not facilitating weaning. It is used to improve oxygenation and prevent alveolar collapse.

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A nurse is providing education to a client diagnosed with Obstructive Sleep Apnea (OSA). Which of the following signs and symptoms of OSA should the nurse include in the education? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is part of a Continuous Quality Improvement (CQI) committee tasked with developing a program to decrease medication administration errors following a sentinel event. Which strategy should the committee consider implementing first?

Correct Answer is B

Explanation

A nurse is caring for a client diagnosed with adult respiratory distress syndrome (ARDS) and being treated with positive end expiratory pressure (PEEP). How does PEEP benefit the client?

Correct Answer is C

Explanation

A nurse is caring for a client who has a tracheostomy. Based on the Nurses Notes and Diagnostic Results, which of the following is a manifestation in the client?

A nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD) who is being evaluated for a lung transplant. What findings should a nurse expect when performing an initial physical assessment on a client diagnosed with COPD? Select all that apply.

A patient with lung cancer confides in the nurse, expressing fear about the disease and guilt for smoking in the past. Which response from the nurse would be most appropriate?

A nurse is caring for a patient at risk for atelectasis. Which independent nursing measure should the nurse prioritize to prevent the development of atelectasis?

A nurse is caring for a client newly diagnosed with a pulmonary embolism (PE). Which of the following is the initial assessment finding in the client diagnosed with PE?

A nurse is developing a plan of care for a patient on a ventilator, to prevent ventilator-associated pneumonia. The nurse recognizes that which of the following interventions should be included? Select all that apply.

A nurse is reviewing incident reports submitted during the previous month. The nurse should identify which of the following as a problem that should be reported to the risk manager?

Several staff nurses express concern over their confidence levels and performance to the nurse in charge of performance improvement after responding to a "code.”. The best way for the nurse in charge to evaluate and improve performance is to implement which of the following?