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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
NREM (Non-Rapid Eye Movement) sleep is characterized by slow-wave sleep and is often considered restorative. It is the stage of sleep where the body repairs and regenerates tissues, and it is essential for feeling rested and rejuvenated. NREM sleep consists of three stages, with stages 3 and 4 being the deepest and most restful, also known as slow-wave sleep. These stages are essential for physical recovery.
Choice B rationale:
NREM sleep is not characterized by irregular respirations. Irregular breathing patterns are more commonly associated with certain sleep disorders, such as sleep apnea, rather than NREM sleep itself.
Choice C rationale:
NREM sleep is not characterized by increased heart rate. In fact, during NREM sleep, the body typically experiences a decrease in heart rate and blood pressure. The body's physiological functions tend to slow down during NREM sleep to promote rest and recovery.
Choice D rationale:
NREM sleep is not characterized by daytime activity. In contrast, NREM sleep occurs during the night and is a state of deep rest, during which the body is not engaged in daytime activities. It is essential for physical and mental recovery, especially after a day of activity.
Correct Answer is A
Explanation
Choice A rationale:
The nurse recommends that normal sleep and rest patterns can best be acquired by suggesting that the patient exercises in the mornings. Morning exercise can help regulate the circadian rhythm and improve sleep-wake patterns. It helps to reset the internal body clock, making it easier to fall asleep at night. However, exercise should not be too close to bedtime, as it may have a stimulating effect.
Choice B rationale:
Taking a nap during the day may provide a short-term boost in alertness but is not recommended as the primary method to acquire normal sleep and rest patterns. Daytime naps should be brief (20-30 minutes) and should not interfere with nighttime sleep. Excessive daytime napping can disrupt the regular sleep cycle.
Choice C rationale:
Drinking wine is not a recommended approach for acquiring normal sleep and rest patterns. Alcohol consumption, especially in the evening, can disrupt sleep cycles and negatively affect the quality of sleep. It may lead to frequent awakenings during the night and contribute to sleep disturbances.
Choice D rationale:
Smoking cigarettes is not a recommended approach for acquiring normal sleep and rest patterns. Nicotine is a stimulant that can interfere with sleep by increasing alertness and heart rate. Smoking can contribute to sleep difficulties and should be avoided, especially close to bedtime. .
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