A community health nurse is developing a brochure about obstructive sleep apnea (OSA). Which of the following potential complications of OSA should the nurse include?
Enlarged adenoids
Diabetes mellitus
Nasal polyps
Heart failure
The Correct Answer is D
A. Enlarged adenoids Enlarged adenoids may contribute to airway obstruction, especially in children, but they are not a complication of OSA.
B. Diabetes mellitus While OSA is associated with an increased risk of insulin resistance and metabolic syndrome, it is not a direct complication.
C. Nasal polyps Nasal polyps can contribute to breathing difficulties but are not a complication of OSA.
D. Heart failure OSA can lead to chronic hypoxia and increased cardiac workload, contributing to conditions such as hypertension, arrhythmias, and heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Chronic grief Chronic grief is prolonged and intense, lasting for an extended period without resolution. The client's symptoms suggest a different grief response.
B. Masked grief Masked grief occurs when a person experiences physical symptoms or maladaptive behaviors that they may not initially recognize as being related to their loss. The client's headaches, indigestion, and heart palpitations are physical manifestations of their grief.
C. Exaggerated grief Exaggerated grief involves intense emotions and self-destructive behaviors, such as depression, substance abuse, or suicidal thoughts, rather than primarily physical symptoms.
D. Delayed grief Delayed grief occurs when a person suppresses their emotions and does not experience grief reactions until later, often triggered by another event. The client's current physical symptoms suggest an ongoing response rather than a delayed one.
Correct Answer is A
Explanation
A. High-pitched wheezing Wheezing indicates airway constriction, which is a sign of anaphylaxis, a life-threatening allergic reaction. This requires immediate intervention (e.g., stopping the medication, administering epinephrine, and providing oxygen).
B. Urticaria over the entire body While urticaria (hives) is a sign of an allergic reaction, it is not as urgent as airway compromise. It should still be reported but does not take immediate priority over wheezing.
C. Pruritis of the face Facial itching is a mild allergic reaction but does not indicate imminent airway compromise like wheezing does.
D. Rhinitis with clear discharge Nasal congestion or a runny nose can be a mild allergic reaction but is not an emergency.
Priority action: Apply the ABC (Airway, Breathing, Circulation) framework, which prioritizes airway compromise (wheezing) over skin-related allergic reactions.
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