The nurse is assessing a patient with obstructive sleep apnea. Which assessment is the priority?

Oxygen saturation

Blood pressure

Body mass index

Neck circumference

Answer and Explanation

The Correct Answer is A

Choice A reason: Oxygen saturation is the priority assessment for obstructive sleep apnea, as airway obstruction causes intermittent hypoxemia during apneic episodes. Pulse oximetry provides immediate data on respiratory compromise, guiding interventions to prevent hypoxia-related complications (e.g., arrhythmias), making it the most urgent assessment in this condition.

Choice B reason: Blood pressure is relevant, as sleep apnea contributes to hypertension, but it is not the immediate priority. Oxygen saturation directly reflects acute airway obstruction’s impact on oxygenation, posing a greater immediate risk, making blood pressure a secondary assessment for long-term management.

Choice C reason: Body mass index (BMI) is a risk factor for sleep apnea due to obesity but is not an acute assessment priority. Oxygen saturation addresses immediate respiratory threats from apneic events, while BMI informs chronic management, making this less critical during active assessment.

Choice D reason: Neck circumference correlates with airway narrowing in sleep apnea but is not the priority during assessment. Oxygen saturation directly measures the physiological impact of apnea, guiding urgent interventions. Neck circumference is relevant for risk stratification, not immediate respiratory status, making it less urgent.

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Correct Answer is C

Explanation

Choice A reason: Evening meal administration of NPH insulin risks nocturnal hypoglycemia, as its peak action (4–12 hours) occurs overnight. Morning dosing aligns with daily glucose patterns, making this incorrect.

Choice B reason: Bedtime NPH insulin peaks during sleep, increasing hypoglycemia risk. Morning administration provides coverage during active hours, matching physiological needs, making bedtime an incorrect time.

Choice C reason: NPH insulin, given in the morning before breakfast, peaks mid-day to evening, covering postprandial glucose rises. This aligns with type 1 diabetes management, making it the correct administration time.

Choice D reason: Noon administration with lunch shifts NPH’s peak to evening, missing morning glucose rises. Morning dosing ensures optimal coverage, making noon an incorrect time for daily NPH insulin.

A. Stress that older patients usually ask for help when needed B. Inform the family that placement in a nursing center is a permanent solution C. Provide information and answer questions as the patient and staff members make choices among care options D. Tell the family to enroll the patient in a ceramics class to maintain quality of life

Correct Answer is C

Explanation

Choice A reason: Stating that older patients usually ask for help is inaccurate, as some may avoid requesting assistance due to pride or unawareness. Providing information empowers informed decisions, promoting independence more effectively than relying on assumptions about help-seeking behavior.

Choice B reason: Suggesting permanent nursing home placement dismisses rehabilitation potential. Providing information about care options supports tailored plans for independence, as many patients can regain self-care abilities with therapy, making this choice incorrect.

Choice C reason: Providing information and answering questions empowers the patient and family to choose care options (e.g., therapy, aids) that promote independence. This collaborative approach fosters self-care by aligning interventions with the patient’s goals, making it the most effective action.

Choice D reason: Enrolling in a ceramics class may enhance quality of life but does not directly address mobility or self-care post-hip fracture. Education on care options better supports functional recovery, making this choice less relevant to promoting independence.

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The nurse is assessing a patient with obstructive sleep apnea. Which assessment is the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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