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 B

Explanation

A. Weight gain is more commonly associated with right-sided heart failure due to fluid retention and peripheral edema, not left-sided heart failure.
B. Shortness of breath (dyspnea) is correct. Left-sided heart failure causes pulmonary congestion, leading to dyspnea, orthopnea, and pulmonary edema as blood backs up into the lungs.
C. Pulmonary embolism is not a direct manifestation of left-sided heart failure. While heart failure increases the risk of clot formation, a pulmonary embolism is a separate condition.
D. Anorexia is more common in right-sided heart failure, as systemic venous congestion can lead to gastrointestinal edema and poor appetite.

A. Obtain a STAT electrocardiogram B. Have the client sit down immediately C. Assess the client's vital signs D. Administer sublingual nitroglycerin

Correct Answer is B

Explanation

A. Obtaining an ECG is important but not the first action. The priority is to stop activity, as exertion can worsen myocardial oxygen demand.
B. Having the client sit down immediately is correct. Stopping activity reduces cardiac workload and oxygen demand, preventing further ischemia or infarction.
C. Assessing vital signs is important but should follow stopping activity. Chest pain requires immediate action to reduce cardiac strain.
D. Administering sublingual nitroglycerin is appropriate but should be done after ensuring the client is seated. This prevents hypotension and syncope from occurring while standing.

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

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse the client is developing this condition?

Correct Answer is B

Explanation

The nurse is providing care for a client admitted to rule out a myocardial infarction who is experiencing chest pain while walking to the bathroom. Which action should the nurse implement first?

Correct Answer is B

Explanation

Which diagnostic test may be prescribed to evaluate for the presence of a pulmonary embolism?

A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction?

The nurse is assessing the client diagnosed with COPD. Which of the following would require immediate attention by the nurse?

A nurse is teaching a client who has chronic obstructive pulmonary disease (COPD) about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

The nurse and unlicensed assistive personnel (UAP) are caring for an elderly client diagnosed with emphysema. Which nursing tasks could be delegated to the UAP to improve gas exchange? (Select All that Apply)

A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?

A nurse is teaching a class about sleep disorders. The nurse should include that which of the following conditions can cause obstructive sleep apnea (OSA)?

What is the underlying rationale for why a nurse assesses a client with emphysema for clinical indicators of hypoxia?