A nurse is assisting with teaching a class about sleep disorders. The nurse should include that which of the following conditions can cause central sleep apnea (CSA)?
Enlarged tonsils
Obesity
Opioid overdose
Deviated septum
The Correct Answer is C
Choice A reason : Enlarged tonsils can contribute to obstructive sleep apnea by blocking the airway, but they do not cause central sleep apnea, which is related to the brain's control of breathing.
Choice B reason : Obesity is a risk factor for obstructive sleep apnea due to the physical obstruction of the airway, not central sleep apnea, which involves a failure of the brain's signaling to the muscles that control breathing.
Choice C reason : Opioid overdose can depress the central nervous system, including the brain's ability to signal for breath, leading to central sleep apnea.
Choice D reason : A deviated septum can cause difficulty breathing through the nose and contribute to obstructive sleep apnea, but it does not cause central sleep apnea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason : Denial is the first stage of the Kübler-Ross model of grief. In this stage, individuals believe the diagnosis is somehow mistaken, and cling to a false, preferable reality. It is a defense mechanism that buffers the immediate shock of the loss, numbing us to our emotions.
Choice B reason : Anger is the second stage of grief. As the masking effects of denial begin to wear off, reality and its pain re-emerge. The intense emotion is deflected from our vulnerable core, redirected and expressed instead as anger. The anger may be aimed at inanimate objects, complete strangers, friends, or family.
Choice C reason : Bargaining is the third stage. It involves the hope that the individual can avoid a cause of grief. Usually, the negotiation for an extended life is made with a higher power in exchange for a reformed lifestyle.
Choice D reason : Acceptance is the final stage of grief. In this stage, individuals embrace mortality or the inevitable future, or that of a loved one, or other tragic event. People dying may precede the survivors in this state, which typically comes with a calm, retrospective view for the individual, and a stable condition of emotions.
Correct Answer is B
Explanation
Choice A reason : While nasopharyngeal suctioning may be necessary to clear secretions, it should be done with the client's consent and in a manner that maintains their dignity. It is not the primary action to support dignity.
Choice B reason : Giving the client privacy during care is a fundamental way to support their dignity. It respects their personal space and autonomy, even in a vulnerable state.
Choice C reason : Demonstrating empathy is crucial in end-of-life care, as it acknowledges the client's feelings and experiences. However, it is not an action but rather an approach or attitude.
Choice D reason : Providing care with an optimistic attitude can be supportive, but it must be balanced with realism, especially in end-of-life situations where the focus is on comfort and dignity.
Choice E reason : Telling the client that their condition will improve may not be appropriate in end-of-life care, as it may not be truthful and could undermine trust.
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