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:
Using medications as the primary long-term treatment for sleep disorders is not recommended due to the potential for tolerance, dependency, and adverse effects. Many sleep medications can lose their effectiveness over time, and relying solely on medications may not address the underlying causes of sleep disturbances.
Choice B rationale:
Over-the-counter antihistamines are not the preferred choice for treating sleep problems, as they can lead to drowsiness the next day and potentially interact with other medications. Their safety profile for long-term use is not well-established, and they might not address the root causes of sleep disorders.
Choice C rationale:
Taking medications in varying dosages without consulting a healthcare professional is unsafe and can lead to unpredictable effects, including overdose and adverse reactions. Dosing of sleep medications should be carefully monitored and adjusted based on individual needs and response.
Choice D rationale:
The correct choice, this statement accurately reflects the guideline for using medications to treat sleep and wakefulness disorders. Medications for sleep disorders should be used cautiously and under medical supervision. This is because sleep medications can have potential side effects such as drowsiness, impaired cognitive function, and even rebound insomnia upon discontinuation. Additionally, there's a risk of interactions with other medications the patient might be taking. Healthcare professionals should evaluate the patient's medical history, potential drug interactions, and individual needs before prescribing sleep medications. Non-pharmacological interventions and addressing underlying causes of sleep disorders are also important aspects of treatment.
Correct Answer is ["B","D"]
Explanation
Choice A rationale:
Allergies are not typically considered medical disorders that directly contribute to sleep and wakefulness disorders. Allergic reactions can lead to discomfort and difficulty breathing, but they are not primary contributors to sleep disturbances.
Choice B rationale:
Degenerative neurologic illnesses, such as Parkinson's disease and Alzheimer's disease, can disrupt sleep patterns. These conditions may lead to changes in sleep architecture, insomnia, excessive daytime sleepiness, and other sleep-related issues.
Choice C rationale:
Infections can cause temporary disruptions in sleep due to symptoms like fever, discomfort, and respiratory issues. However, infections are not among the primary medical disorders known for contributing to chronic sleep and wakefulness disorders.
Choice D rationale:
Mood disorders like depression and anxiety can significantly impact sleep and wakefulness. Depression may lead to insomnia or oversleeping, while anxiety can cause difficulty falling asleep and maintaining sleep. Both conditions can affect sleep quality and duration.
Choice E rationale:
Caffeine consumption is a lifestyle factor, not a medical disorder. While caffeine intake, especially close to bedtime, can interfere with sleep, it is not classified as a medical disorder contributing to sleep and wakefulness disorders.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.