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).

Answer and Explanation

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.

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Correct Answer is ["A","D","E"]

Explanation

Choice A rationale:

Asking about caffeine consumption close to bedtime is relevant as caffeine is a stimulant that can interfere with sleep. Consuming caffeine too close to bedtime can disrupt sleep onset and overall sleep quality.

Choice B rationale:

Engaging in vigorous exercise before going to bed can increase alertness and body temperature, making it harder to fall asleep. It's important to finish exercise several hours before bedtime to allow the body to wind down.

Choice C rationale:

Inquiring about surgery for sleep disorders might not directly provide information about the patient's sleep patterns. While surgeries like sleep apnea treatment might impact sleep, this question is less focused on gathering information about sleep habits.

Choice D rationale:

Asking whether the patient uses the bed for activities other than sleep and sex is relevant to understanding sleep hygiene. Using the bed for activities like work or watching TV can disrupt the association between the bed and sleep.

Choice E rationale:

Inquiring about nightmares frequency can provide insight into sleep quality and potential sleep disturbances. Frequent nightmares can lead to fragmented sleep and contribute to sleep pattern disturbances.

A. Actigraphy. B. Maintenance of wakefulness test (MWT). C. Polysomnography (PSG). D. Epworth sleepiness scale.

Correct Answer is C

Explanation

Choice A rationale:

Actigraphy is a method that involves wearing a wrist-worn device that monitors movement and light exposure to infer sleep patterns and circadian rhythms. It's often used in sleep research and can provide long-term data, but it doesn't directly measure physiological parameters like brain waves, eye movements, and heart rate. Therefore, it's not the correct choice for this scenario.

Choice B rationale:

The Maintenance of Wakefulness Test (MWT) is used to assess a person's ability to stay awake during a quiet, daytime environment. It's typically used to evaluate excessive daytime sleepiness, especially in individuals with conditions like narcolepsy. This test doesn't involve monitoring physiological parameters during sleep and is performed while the person is awake, so it's not the correct choice.

Choice C rationale:

Polysomnography (PSG) is the correct choice. PSG is a comprehensive sleep study that involves monitoring various physiological parameters during sleep, including brain waves (electroencephalogram, EEG), eye movements (electrooculogram, EOG), muscle activity (electromyogram, EMG), and heart rate (electrocardiogram, ECG). This test is commonly used to diagnose sleep disorders such as sleep apnea, insomnia, and parasomnias.

Choice D rationale:

The Epworth Sleepiness Scale is a self-report questionnaire used to assess an individual's likelihood of falling asleep in various situations. It's a subjective measure of daytime sleepiness and doesn't involve monitoring physiological parameters during sleep, so it's not the correct choice.

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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).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(Select all that apply):. A nurse is assessing a patient's sleep history. Which of the following questions would be appropriate for the nurse to ask to gather relevant information about the patient's sleep patterns? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

A client is undergoing a sleep study to aid in the diagnosis of a sleep disorder. The study monitors various physiological parameters during sleep, including brain waves, eye movements, muscle activity, and heart rate. Which type of test is the client undergoing?

Correct Answer is C

Explanation

(Select all that apply):. A nurse is educating a group of patients about the treatment options for sleep and wakefulness disorders. Which of the following options would the nurse include in the discussion? Select all that apply.

A client is discussing their experiences with a nurse regarding sleep and wakefulness disorders. Select all the potential impacts of sleep deprivation mentioned in the text.

A nurse is conducting an assessment with a client who has been experiencing difficulty adjusting to different time zones due to frequent travel. Which aspect of sleep and wakefulness disorders is the client likely experiencing?

A nurse is evaluating the outcomes of interventions for a patient with sleep and wakefulness disorders. Which method would the nurse use to assess changes in the patient's sleep patterns and symptoms?

A client is seeking information about the potential effects of sleep deprivation on physical health. Which of the following statements reflects a possible consequence of sleep deprivation on metabolic function?

(Select All That Apply):. A nurse is assessing a client for possible sleep and wakefulness disorders. Which of the following are common symptoms that the nurse should consider? Select all that apply.

A nurse is conducting a teaching session on types of sleep and wakefulness disorders. Which of the following classifications is characterized by abnormal behavioral, experiential, physiological, or psychological events occurring during sleep or sleep-wake transitions?