A nurse is assessing a client who thinks they have sleep apnea. Which of the following questions should the nurse ask?

"Do you snore loudly?"

"What time do you go to bed?"

"How often do you have trouble sleeping?"

"Do you fall asleep unexpectedly?"

Answer and Explanation

The Correct Answer is A

A. "Do you snore loudly?": Loud snoring is a common symptom of sleep apnea, particularly obstructive sleep apnea. The nurse should inquire about snoring, as it may indicate airway obstruction during sleep, a key feature of the condition.

B. "What time do you go to bed?": While bedtime habits are relevant to sleep hygiene, the specific timing of going to bed is not as directly related to diagnosing sleep apnea. Other questions, such as snoring or breathing patterns, are more relevant for this assessment.

C. "How often do you have trouble sleeping?": Trouble sleeping can be a symptom of various sleep disorders, but it is not specific to sleep apnea. The nurse should focus on symptoms like snoring, choking, or stopping breathing during sleep, which are more indicative of sleep apnea.

D. "Do you fall asleep unexpectedly?": Falling asleep unexpectedly may suggest excessive daytime sleepiness, which can be a result of sleep apnea. However, snoring is a more direct and common symptom of sleep apnea that should be prioritized in the initial assessment.

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Correct Answer is B

Explanation

A. Discuss the client's condition with a nurse on another unit: Sharing a client’s condition with a nurse on another unit without a need-to-know basis violates confidentiality rules. Discussions about client conditions should be limited to personnel involved in care.

B. Fax client information with a cover sheet: A fax cover sheet protects the confidentiality of client information by identifying the contents and indicating that it is confidential. This ensures that the information is not exposed to unauthorized individuals during transmission.

C. List the client's name and condition on board at the nurses station: Displaying client information in public or semi-public areas, violates confidentiality. Client information should be kept private and only accessed by those who are involved in the client’s care.

D. Post client diagnosis on message board in their room: Posting the client’s diagnosis in their room is a violation of confidentiality, as other individuals (like visitors or hospital staff) may have access to that information without a need to know.

A. Stroking the lower abdomen B. Pouring warm water over the perineum C. Performing Kegel exercises prior to urination D. Leaning backward when sitting and attempting to urinate

Correct Answer is B

Explanation

A. Stroking the lower abdomen: While this may sometimes stimulate the bladder, it is not the most effective technique for promoting urination. Techniques such as using warm water are more commonly recommended for stimulating urination.

B. Pouring warm water over the perineum: Pouring warm water over the perineum can help relax the pelvic muscles and stimulate the urge to urinate. This method is often used to assist with the initiation of urination, especially after catheter removal.

C. Performing Kegel exercises prior to urination: Kegel exercises strengthen the pelvic floor muscles and can improve urinary control over time, but they are not effective for immediately stimulating urination, especially in the postoperative period.

D. Leaning backward when sitting and attempting to urinate: Leaning backward may make it more difficult to urinate as it puts pressure on the bladder. The best position for urination is sitting upright with the feet flat on the floor, which allows relaxation of the pelvic muscles.

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A nurse is assessing a client who thinks they have sleep apnea. Which of the following questions should the nurse ask?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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