Which assessment findings lead the nurse to suspect that the patient has obstructive sleep apnea?
Daytime sleepiness, snoring, and obesity
Latex allergy, stressful career and recent divorce
Early morning awakening shift work, and attention deficit disorder (ADD)
Insomnia, inability to concentrate and anemia
The Correct Answer is A
A. Daytime sleepiness, snoring, and obesity
These are hallmark signs of obstructive sleep apnea (OSA). Obesity increases risk due to airway narrowing; snoring and daytime fatigue are classic symptoms.
B. Latex allergy, stressful career, and recent divorce
These may lead to stress or insomnia but are not related to OSA.
C. Early morning awakening, shift work, and ADD
Could indicate circadian rhythm disorders or insomnia-not OSA.
D. Insomnia, inability to concentrate, and anemia
Anemia may cause fatigue, but not OSA-specific signs like snoring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Readiness for enhanced spiritual well-being related to expressed desire for prayer: While this may be a valid diagnosis in some cases, the stem focuses on social isolation, not spiritual health.
B. Impaired verbal communication related to alteration in sensory perception: There is no mention of sensory deficits or communication issues.
C. Risk for loneliness related to insufficient interactions with friends and family: The core issue is social withdrawal after the loss of a spouse, leading to potential loneliness.
D. Health-seeking behavior related to the desire for increased control of personal health: The scenario doesn’t mention any actions or goals related to health improvement.
Correct Answer is D
Explanation
A. Blood glucose 45 mg/dL
Glucose would typically rise due to stress hormones (epinephrine, cortisol), not drop.
B. Hyperactive bowel sounds
Sympathetic (fight-or-flight) response suppresses GI activity, not stimulates it.
C. HR 55 bpm
A slow heart rate is not expected. The HR should increase.
D. BP 180/94
The sympathetic response leads to increased BP, HR, and blood glucose.
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