A patient with obstructive sleep apnea is unhappy using CPAP therapy and asks the nurse if there is something else he can try. What is the best statement by the nurse?
1. "Perhaps a class in sleep hygiene would be helpful."
2. "Certain classes of sleeping pills are sometimes effective in OSA."
3. "Cognitive-behavioral therapy works for some people with OSA."
4. "Oral-pharyngeal surgery, some appliances, or weight loss are sometimes utilized."
Answer: 4
Explanation: OSA is sometimes treated with surgery, appliances, or weight loss. Because the patient is having issues, the nurse can also refer him to his sleep medicine provider for more information. Sleeping pills, cognitive-behavioral therapy, and sleep hygiene classes do not work for the underlying cause of sleep apnea although they may be employed if the patient has multiple sleep issues.
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