Which findings most concern the nurse that a client is experiencing sleep apnea? Select all that apply.
1. Frequent daily headaches
2. Sleeping with three pillows
3. Daytime sleepiness
4. Restless legs during long drives
5. Reports of choking when waking from sleep
2. Sleeping with three pillows
3. Daytime sleepiness
5. Reports of choking when waking from sleep
Explanation: 1. Morning headaches, rather than headaches at any point in the day, are associated with sleep apnea.
2. A client who sleeps with multiple pillows needs evaluation to rule out conditions such as sleep apnea. Propping the head or torso up with pillows reduces sleep interruptions from the impaired airway that occurs with apnea.
3. Excessive daytime sleepiness is a manifestation of sleep apnea.
4. Restless legs can be associated with many conditions. Falling asleep while driving is associated with sleep apnea.
5. Complaints of choking when waking from sleep is a manifestation of sleep apnea.
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