A nurse is reinforcing teaching with a client who is obese and has obstructive sleep apnea about how to decrease the number of apneic episodes he has each night.Which statement indicates that the client understands the instructions?
“I’ll use a humidifier beside my bed at night.”.
“I am going to try to lose about 50 pounds.”.
“I’ll sleep better if I take a sleeping pill at night.”.
“I am going to have a glass of red wine before bedtime.”.
The Correct Answer is B
Choice A rationale
Using a humidifier beside the bed at night may not necessarily decrease the number of apneic episodes in a client with obstructive sleep apnea. While a humidifier can help moisten the airways and may provide some relief from symptoms such as dry mouth or throat, it does not address the underlying issue of airway obstruction.
Choice B rationale
Losing weight can indeed help decrease the number of apneic episodes in a client with obstructive sleep apnea. Obesity is a major risk factor for sleep apnea, as excess fat tissue can thicken the wall of the windpipe, making it narrower and making it harder to keep open.
Therefore, losing weight can help reduce this fat and widen the airway, leading to fewer apneic episodes.
Choice C rationale
Taking a sleeping pill at night may actually worsen obstructive sleep apnea. While it might help the client fall asleep, it can also relax the muscles of the throat, which can make the airway more likely to collapse during sleep, leading to more apneic episodes.
Choice D rationale
Drinking a glass of red wine before bedtime is not recommended for a client with obstructive sleep apnea. Alcohol can relax the muscles in the throat and can disrupt the normal sleep cycle, both of which can lead to more apneic episodes.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Pursed-lip breathing can help improve oxygenation and reduce shortness of breath in clients with COPD. However, it is not the priority action when a client reports difficulty breathing.
Choice B rationale
Increasing the oxygen flow rate without a physician’s order can lead to oxygen toxicity or suppress the respiratory drive in clients with COPD. Therefore, this is not the priority action.
Choice C rationale
Coughing and expectorating secretions can help clear the airways, but it is not the priority action when a client reports difficulty breathing.
Choice D rationale
Evaluating the client’s respiratory status is the priority action. The nurse should assess the client’s breath sounds, respiratory rate, use of accessory muscles, and oxygen saturation to determine the severity of the client’s difficulty breathing and guide further interventions.
Correct Answer is B
Explanation
Choice A rationale
Requesting a prescription for the insertion of an indwelling urinary catheter is not the best option to prevent skin breakdown in a client with urinary incontinence. Catheters can increase the risk of urinary tract infections and should be used as a last resort.
Choice B rationale
Applying a moisture barrier ointment to the skin can help protect the skin from the damaging effects of urine. This can help prevent skin breakdown and is a common practice in the care of clients with urinary incontinence.
Choice C rationale
Cleaning the skin and perineum with hot water after each episode of incontinence is not recommended. Hot water can dry out the skin and cause irritation. It’s better to use warm water and a gentle cleanser.
Choice D rationale
Checking the client’s skin every 8 hours for signs of breakdown is important, but it’s not the only action the nurse should take. The nurse should also take proactive measures to protect the skin, such as applying a moisture barrier ointment.
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