A client with obstructive sleep apnea (OSA ambulates in the hallway with the nurse prior to bedtime and then returns to bed. Which intervention is most important for the nurse to implement before leaving the client?

Apply the client's positive airway pressure device.

Elevate the head of the bed to a 45-degree angle.

Remove dentures or other oral appliance.

Lift and lock the side rails in place.

Answer and Explanation

The Correct Answer is A

A. Applying the positive airway pressure (PAP) device is crucial for managing obstructive sleep apnea (OSA and ensuring the client receives continuous positive airway pressure during sleep to prevent airway obstruction.
B. Elevating the head of the bed may be helpful in managing OSA, but ensuring the client uses the PAP device takes precedence.
C. Removing dentures or other oral appliances may improve comfort but is not as essential as ensuring proper use of the PAP device.
D. Lifting and locking the side rails may be important for safety but is not directly related to managing OSA.

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Correct Answer is C

Explanation

A. When the client has ankle edema Ankle edema may indicate fluid retention, which is common during pregnancy but is not directly related to the assessment of deep tendon reflexes (DTRs).

B. Within the first trimester of pregnancy: Assessing DTRs within the first trimester of pregnancy is not specifically indicated unless there are other signs or symptoms of concern.

C. If the client has an elevated blood pressure: Assessment of DTRs is particularly important if the client has an elevated blood pressure, as it may indicate preeclampsia, a serious pregnancy complication characterized by hypertension and proteinuria.

D. During admission to labor and delivery: While assessment of DTRs may be included in the admission assessment to labor and delivery, it is particularly important to assess DTRs if the client has an elevated blood pressure, as it may indicate preeclampsia.

A. Instruct client and family to reconsider end of life choices. B. Teach client how to use guided imagery, C. Record the client's desire to live. D. Encourage family to visit frequently. E. Encourage family to bring the client old photographs

Correct Answer is ["B","D","E"]

Explanation

A. Instructing the client and family to reconsider end of life choices may not be appropriate as it could cause additional stress and conflict during a sensitive time.

B. Teaching the client how to use guided imagery can be a helpful tool in managing anxiety and providing a sense of calm.
C. Recording the client's desire to live is important for documentation, but it does not directly assist in coping with feelings related to death and dying.
D. Encouraging family to visit frequently can provide emotional support and comfort to the client during this difficult time.
E. Encouraging family to bring old photographs can help the client reminisce and find joy in memories, which can be therapeutic.

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A client with obstructive sleep apnea (OSA ambulates in the hallway with the nurse prior to bedtime and then returns to bed. Which intervention is most important for the nurse to implement before leaving the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When is it most important for the nurse to assess a pregnant client's deep tendon reflexes (DTRs)?

Correct Answer is C

Explanation

An older adult with a terminal illness is receiving hospice care and is having difficulty coping with feelings related to death and dying. Which intervention(s) should the nurse include in this client's plan of care? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

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