A nurse is teaching a client who is obese and has obstructive sleep apnea on how to decrease the number of nightly apneic episodes. Which client statement indicates an understanding of the teaching?

I could lose about 50 pounds; I might stop having so many apneic episodes.

I sleep better if I take a sleeping pill at night.

I’ll get a humidifier to run at my bedside at night.

It might help if I tried sleeping only on my back.

Answer and Explanation

The Correct Answer is A

Choice A Reason:

Losing weight is one of the most effective ways to reduce the severity of obstructive sleep apnea (OSA). Excess weight, especially around the neck, can increase the risk of airway obstruction during sleep. Studies have shown that losing even 5-10% of body weight can significantly improve OSA symptoms. Therefore, the statement about losing 50 pounds indicates a good understanding of how weight loss can help manage sleep apnea.

Choice B Reason:

Taking a sleeping pill at night is not recommended for individuals with obstructive sleep apnea. Many sleeping pills, especially those that are sedatives or muscle relaxants, can worsen sleep apnea by relaxing the muscles of the throat, leading to increased airway obstruction. Therefore, this statement does not indicate an understanding of the appropriate management of sleep apnea.

Choice C Reason:

Using a humidifier can help alleviate some symptoms associated with sleep apnea, such as dry mouth and nasal congestion, but it does not directly reduce the number of apneic episodes. While a humidifier can improve comfort, it is not a primary treatment for reducing apneic episodes in OSA patients.

Choice D Reason:

Sleeping on the back is generally not recommended for individuals with obstructive sleep apnea. This position can cause the tongue and soft tissues to collapse to the back of the throat, worsening airway obstruction. Side sleeping is usually recommended to help keep the airway open. Therefore, this statement does not indicate an understanding of the best sleep practices for managing sleep apnea.

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Correct Answer is C

Explanation

Choice A Reason:

A pureed diet consists of foods that are blended to a smooth consistency. This type of diet is typically recommended for clients who have severe swallowing difficulties or are at risk of aspiration. While it can be easier to consume for those with significant dental issues, it may not provide the variety and texture that a mechanical soft diet offers, which can be more satisfying and nutritionally adequate for someone with multiple cavities and missing teeth.

Choice B Reason:

A soft diet includes foods that are easy to chew and swallow but are not necessarily blended or pureed. This diet is often recommended for clients recovering from surgery or those with mild chewing difficulties. However, for a client with multiple cavities, chipped, and missing teeth, a soft diet might still pose challenges in terms of chewing and could lead to discomfort or inadequate nutrition.

Choice C Reason:

A mechanical soft diet is specifically designed for individuals who have difficulty chewing but do not require pureed foods. This diet includes foods that are easy to chew and swallow, such as ground meats, cooked vegetables, and soft fruits. It provides a balance of texture and nutrition, making it the most appropriate choice for a client with multiple cavities, chipped, and missing teeth. This diet helps ensure the client can eat comfortably and maintain adequate nutrition.

Correct Answer is ["1"]

Explanation

We know:

The prescribed dose is 25 mg.
The available concentration is 125 mg per 5 mL.

Step 2 is to set up the calculation.

We will use the formula: (Desired Dose in mL) = (Prescribed Dose in mg × Volume Available in mL) ÷ Concentration Available in mg

Step 3 is to plug in the values into the formula.

(Desired Dose in mL) = (25 mg × 5 mL) ÷ 125 mg

Step 4 is to perform the multiplication first.

25 mg × 5 mL = 125

Step 5 is to perform the division.

125 ÷ 125 mg = 1 mL

Step 6 is the result.

The nurse should administer 1 mL per dose.

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A nurse is teaching a client who is obese and has obstructive sleep apnea on how to decrease the number of nightly apneic episodes. Which client statement indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Edited TextA nurse is auditing a client. During the assessment, the nurse notes the client has multiple cavities, chipped, and missing teeth. The client reports having difficulty eating. Which diet should the nurse recommend the primary health care provider to order for this client?

Correct Answer is C

Explanation

Correct Answer is ["1"]

Explanation

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