A nurse is assessing a client who has obstructive sleep apnea (OSA). Which of the following findings should the nurse expect?
Hypotension.
Pneumonia.
Decreased energy.
Thyroid disease.
The Correct Answer is C
The correct answer is: C. Decreased energy.
Choice A reason: Hypotension is not typically associated with obstructive sleep apnea (OSA). OSA is more commonly linked with hypertension due to the frequent arousals during sleep that activate the sympathetic nervous system, leading to increased blood pressure.
Choice B reason: Pneumonia is an infection of the lungs and is not a direct consequence of OSA. While OSA can affect the respiratory system, it does not cause pneumonia. However, individuals with OSA may have a higher risk of respiratory infections due to compromised breathing during sleep.
Choice C reason: Decreased energy is a common symptom of OSA. People with OSA experience repeated episodes of partial or complete upper airway obstruction during sleep, leading to disrupted sleep patterns and insufficient rest. This results in daytime sleepiness and fatigue, which are hallmark signs of the condition.
Choice D reason: Thyroid disease, specifically hypothyroidism, can be associated with OSA, but it is not a direct finding of the condition. Hypothyroidism can lead to changes in the soft tissues of the upper airway and contribute to the development of OSA, but it is not a symptom used to diagnose OSA.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Phantom pain is a type of pain that occurs after the loss of a body part, such as an amputation. It is often described as pain or discomfort in the missing limb. This pain is believed to result from the brain's attempt to adjust to the loss of sensory input from the missing body part.
Choice B rationale:
Nociceptive pain is not the correct choice in this context. Nociceptive pain is the result of damage or irritation to tissues and is not specific to the loss of a body part. It can occur in various situations, such as injuries or surgical procedures.
Choice C rationale:
Neuropathic pain is associated with nerve damage or dysfunction. While it can be present in cases of amputation, the specific type of pain occurring after the loss of a body part is termed "phantom pain.”.
Choice D rationale:
"Pain" is a vague and non-descriptive option. It doesn't specify any particular type of pain and doesn't provide a meaningful answer to the question.
Correct Answer is D
Explanation
Choice A rationale:
Some older adults may indeed have concerns about taking pain medication, but this is not a primary reason for their hesitance to express pain. The fear of taking medication is not a universal characteristic of older adults.
Choice B rationale:
While older adults may be reluctant to bother nursing staff, this is not the primary reason for their reluctance to express pain. It is a consideration but not the main factor.
Choice C rationale:
The unawareness of discomfort is not a common reason for older adults to avoid expressing pain. Most older adults are aware of their discomfort but may not express it for other reasons.
Choice D rationale:
Older adults may have been culturally trained not to complain about pain or discomfort. In some cultures, stoicism and not burdening others with one's pain are highly valued. This cultural training can lead older adults to underreport their pain.
Choice E rationale:
Believing pain is a natural consequence of aging is a misconception, but it is not the primary reason why older adults may not express their pain. They may believe this, but cultural and societal factors have a more significant impact.
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