Which statement indicates to the nurse the client diagnosed with sleep apnea needs further teaching?

“It is all right to have a couple of beers because I have this CPAP machine."

“The CPAP will help me stay awake during the day while I am at work."

"If I lose weight I may not need treatment for sleep apnea."

"The CPAP machine holds my airway open with pressure."

Answer and Explanation

The Correct Answer is A

A. Alcohol relaxes throat muscles, worsening obstructive sleep apnea (OSA). The client should be educated to avoid alcohol, even while using a CPAP machine.
B. CPAP improves sleep quality and reduces daytime sleepiness, making this statement accurate.
C. Weight loss can reduce the severity of OSA, and some clients may no longer need treatment after significant weight loss.
D. The CPAP machine functions by delivering continuous air pressure to keep the airway open, which is a correct statement.

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Correct Answer is C

Explanation

A. Drawing a basic metabolic panel (BMP) is important for monitoring electrolyte imbalances, especially potassium in clients on diuretics, but it is not the priority intervention.
B. Obtaining a health history is necessary, but assessing the client’s current status takes priority in an acute setting.
C. Auscultating the lung and heart sounds is correct. In heart failure, pulmonary congestion and fluid overload can quickly lead to respiratory distress. The nurse should immediately assess for crackles, wheezing, or signs of pulmonary edema, as well as abnormal heart sounds that may indicate worsening heart failure.
D. Assessing pulse and temperature is routine, but assessing lung and heart sounds directly evaluates for acute decompensation and should be prioritized.

A. Sitting up leaning over the bedside table. B. Fowler's position in the bed. C. Sitting in a recliner. D. Prone in bed.

Correct Answer is A

Explanation

A. Sitting up and leaning over the bedside table (tripod position) helps maximize lung expansion, decreases work of breathing, and improves oxygenation in clients with COPD.
B. Fowler's position can help with breathing but does not provide as much relief as the tripod position.
C. A recliner may be comfortable but does not optimize lung expansion like the tripod position.
D. Lying prone is not beneficial for COPD patients and can make breathing more difficult.

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Which statement indicates to the nurse the client diagnosed with sleep apnea needs further teaching?

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