A nurse is assisting with teaching a client who has obstructive sleep apnea (OSA) about continuous positive airway pressure (CPAP). Which of the following instructions should the nurse include?

The CPAP device should fit loosely on the face.

The CPAP device delivers less pressure during exhalation than inhalation.

The CPAP device requires an invasive ventilation tube.

The CPAP device should be placed over the nose.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
The CPAP device should not fit loosely on the face. It should fit snugly to create a proper seal and maintain positive airway pressure. A loose-fitting CPAP mask may not effectively treat obstructive sleep apnea (OSA).
Choice B rationale:
The CPAP device typically delivers consistent pressure throughout both inhalation and exhalation. It does not deliver less pressure during exhalation. The purpose of CPAP is to maintain a constant pressure to keep the airway open during both phases of the respiratory cycle.
Choice C rationale:
The CPAP device does not require an invasive ventilation tube. It uses a mask that covers the nose or both the nose and mouth to deliver positive airway pressure. It is non-invasive and is designed to keep the airway open by delivering pressurized air.

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Correct Answer is D

Explanation

Choice A rationale:

Post-herpetic neuralgia. Post-herpetic neuralgia is a neuropathic pain that occurs as a complication of shingles (herpes zoster) and is characterized by severe, burning, or shooting pain in the affected area. It is not an example of nociceptive pain.

Choice B rationale:

Diabetic neuropathy. Diabetic neuropathy is another example of neuropathic pain and is caused by damage to the nerves due to diabetes. It typically presents as aching, burning, or tingling sensations and is not considered nociceptive pain.

Choice C rationale:

Phantom limb pain. Phantom limb pain is also a neuropathic pain that occurs after the amputation of a limb. Patients perceive pain or discomfort in the missing limb. It is not classified as nociceptive pain.

Choice D rationale:

Strained muscle. Strained muscle pain is a classic example of nociceptive pain. Nociceptive pain arises from the activation of pain receptors (nociceptors) due to tissue damage or inflammation. In the case of a strained muscle, the pain results from physical injury or overuse of the muscle, making it a nociceptive pain. Nociceptive pain can be further categorized into somatic and visceral pain. Somatic pain, as in the case of a strained muscle, arises from musculoskeletal structures, and it is typically well-localized, sharp, and aching. Understanding the nature of pain is essential for effective pain management and treatment selection. .

A. increasing pain over several hours. B. an itchy red rash on the skin. C. confusion and inability to walk normally. D. headache and nausea.

Correct Answer is C

Explanation

Choice A rationale:
Increasing pain over several hours is not a typical sign of a fentanyl patch overdose. Fentanyl is a potent opioid, and overdose symptoms often involve respiratory depression, altered mental status, and other serious issues. While it is possible for a patient to experience increased pain if the fentanyl patch is not providing adequate pain relief, this is not a specific sign of overdose.
Choice B rationale:
An itchy red rash on the skin is not a sign of a fentanyl patch overdose but can be associated with skin irritation or allergies to the adhesive in the patch. It's important to differentiate between a skin reaction and an overdose when evaluating patients using fentanyl patches. Overdose symptoms are more severe and life-threatening.
Choice C rationale:
Confusion and the inability to walk normally are characteristic signs of a fentanyl patch overdose. Fentanyl is a potent opioid, and overdose can lead to central nervous system depression, resulting in confusion, altered mental status, and difficulty with coordination and walking. These symptoms are serious and require immediate medical attention.
Choice D rationale:
Headache and nausea are not specific signs of a fentanyl patch overdose. While opioid overdose can cause various symptoms, such as respiratory depression and altered mental status, headache and nausea are not among the primary indicators. However, individual responses to medications can vary, and some patients may experience these symptoms as part of a broader set of overdose signs.

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A nurse is assisting with teaching a client who has obstructive sleep apnea (OSA) about continuous positive airway pressure (CPAP). Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a newly licensed nurse about pain.Which of the following is an example of nociceptive pain?

Correct Answer is D

Explanation

Signs of fentanyl patch overdose are:.

Correct Answer is C

Explanation

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