A nurse is providing education on treatment options for sleep-related breathing disorders. Select all of the following interventions that are commonly used for obstructive sleep apnea (OSA).
Continuous positive airway pressure (CPAP) device.
Oral appliance therapy (OAT).
Weight loss.
Surgery.
Medication (dopamine agonists).
Correct Answer : A,C,D
Choice A rationale:
Continuous positive airway pressure (CPAP) device. This is a correct choice. CPAP is the primary treatment for obstructive sleep apnea (OSA). It involves wearing a mask that delivers a constant stream of air to keep the airway open during sleep, preventing the breathing interruptions characteristic of OSA.
Choice B rationale:
Oral appliance therapy (OAT). While OAT can be used for mild to moderate OSA, it is not as commonly used as CPAP. It involves wearing a custom-fitted oral device that helps keep the airway open by repositioning the jaw during sleep.
Choice C rationale:
Weight loss. This is a correct choice. Weight loss can significantly improve OSA, especially in cases where excess weight contributes to airway obstruction. Losing weight reduces the amount of tissue that can narrow the airway during sleep.
Choice D rationale:
Surgery. Surgical interventions may be considered for severe cases of OSA that don't respond well to CPAP or other treatments. Surgeries can involve removing excess tissue from the throat, repositioning the jaw, or creating a new airway passage. However, surgery is not as commonly used as CPAP or weight loss.
Choice E rationale:
Medication (dopamine agonists). Medications are not commonly used for the treatment of obstructive sleep apnea (OSA). Dopamine agonists are typically used to treat conditions like Parkinson's disease and restless legs syndrome, not OSA.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Insomnia refers to the difficulty of initiating or maintaining sleep or experiencing nonrestorative sleep, often resulting in daytime impairments. It doesn't involve abnormal behavioral or physiological events during sleep, making it an incorrect choice.
Choice B rationale:
Hypersomnolence is characterized by excessive daytime sleepiness and prolonged nighttime sleep, but it doesn't encompass abnormal events during sleep. It focuses on excessive sleep rather than abnormal behaviors or experiences during sleep.
Choice C rationale:
Circadian rhythm sleep-wake disorders involve disruptions in the sleep-wake cycle due to misalignment with the natural circadian rhythm. While this can lead to difficulties in falling asleep or staying awake at desired times, it doesn't specifically account for abnormal behavioral or experiential events during sleep.
Choice D rationale:
Parasomnias involve abnormal behaviors, experiences, physiological events, or psychological events occurring during sleep or sleep-wake transitions. These include disorders like sleepwalking, night terrors, sleep-related eating disorders, and rapid eye movement (REM) sleep behavior disorder. These behaviors are outside the range of normal sleep activities and differentiate parasomnias from other sleep disorders.
Correct Answer is C
Explanation
Choice A rationale:
Improved blood pressure regulation. Improved blood pressure regulation is not a potential impact of sleep and wakefulness disorders. Sleep deprivation is associated with elevated blood pressure, not improved regulation. Sleep plays a crucial role in maintaining healthy blood pressure levels, and chronic sleep deprivation can contribute to hypertension.
Choice B rationale:
Decreased heart rate. Decreased heart rate is not a potential impact of sleep and wakefulness disorders on cardiovascular risk. In fact, sleep deprivation and sleep disorders are often linked to an increased heart rate. The body's autonomic nervous system can become dysregulated due to lack of sleep, leading to increased heart rate and other cardiovascular issues.
Choice C rationale:
Increased risk of arrhythmias. This is the correct answer. Sleep and wakefulness disorders can lead to an increased risk of arrhythmias, which are abnormal heart rhythms. The disruption of the body's internal clock, known as the circadian rhythm, can affect the heart's electrical activity and increase the likelihood of arrhythmias, including atrial fibrillation and other irregular heartbeats.
Choice D rationale:
Enhanced blood clotting. Enhanced blood clotting is not a potential impact of sleep and wakefulness disorders on cardiovascular risk. Sleep deprivation is associated with increased inflammation and changes in blood clotting factors that can actually elevate the risk of blood clot formation, potentially leading to cardiovascular events like heart attacks and strokes.
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