Karen is a 57-year-old obese female who comes to the clinic very tired, anxious, and wants relief
As you start to assess her, she states she gets very little sleep at night, frequently wakes herself up, feeling as though she can't breathe, with frequent headaches, and difficulty concentrating at work. She thinks she might have some sort of sleep apnea.
a. Discuss what other types of information and questions you would ask Karen in your interview assessment and why.
b. What kind of testing would Karen need to have done to determine if she has sleep apnea and what type?
Students' answers should include the following:
a. Some of the discussion suggestions for questions to ask Karen might include the following: Does she smoke or drink alcohol? Does she use medication to sleep? What, if any, allergies might she have? You may want to include asking about what medical disorders, accidents, or trauma she may have had in the past in relation to upper airway, face, and throat.
Discuss the relevancy of each of the topics and issues above in relation to obstructive sleep disorder and how it affects women over 50 years.
b. Discussions on diagnostic testing would include polysomnography to determine Karen's cardiac and respiratory status among other physiologic factors while she is sleeping.
You might also like to view...
A nurse works in a multicultural area's health clinic. Which major barrier does this nurse need to consider when she hears that many individuals, regardless of cultural background, are prevented from regular health care?
1. Unwelcoming waiting rooms 2. High costs and a lack of health care coverage 3. Lack of service during hours to meet the needs of the population served 4. Lack of knowledge on the part of health care providers about cultural approaches
You are caring for a patient who has just been told that her uterine cancer is now terminal and nothing more can be done for her. What would be the priority nursing care for this patient at this time?
A) Emotional support B) Helping her get her affairs in order C) Be with her while she tells her family D) Explain what dying will be like
A nurse wants to change a law that regulates nursing practice. Before proposing this change, the priority action by the nurse should be to
a. check for national standards regarding the practice under question. b. determine whether other professional groups would help implement it. c. find a state senator who will sponsor and support the proposed bill. d. hire a lobbyist to represent the nurse's opinion in the legislature.
Most antidepressants affect the levels of which brain neurotransmitters?
a. dopamine 1 and 4 b. histamine c. norepinephrine or serotonin d. acetylcholine