A patient was given the diagnosis of congestive heart failure (CHF) 2 years ago. The patient complains of increased daytime sleepiness and states his support system has been complaining more and more about snoring. Central sleep apnea is suspected
Treatment depends on whether the patient has hypercapnic or nonhypercapnic central sleep apnea. Which of the following indicates a diagnosis of nonhypercapnic central sleep apnea (CSA)? a. Polysomnography with absence of airflow for at least 5 seconds
b. Apnea–hypopnea index of 10
c. Peripheral edema, polycythemia, and obesity
d. Insomnia, awakenings accompanied by choking, and normal body mass index
D
Nonhypercapnic central sleep apnea characteristics include daytime sleepiness, insomnia or poor sleep, mild or intermittent snoring, and awakenings accompanied by choking or feeling short of breath; frequently, patients are of normal body weight. CSA can be seen on polysomnography as an absence of airflow and respiratory effort for at least 10 seconds.
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A patient diagnosed with H pylori asks the nurse, "How an infection can occur in the stomach since it is an acid environment?" The nurse responds,
A) "We have many infectious agents that can live in an acidic environment with a pH more than 8.0." B) "H. pylori is a virus and is still being researched as to how it is able to survive in the stomach acids." C) "H. pylori produces an enzyme called urease that converts gastric juices into ammonia, which neutralizes the acidic stomach environment." D) "This parasite secretes an enzyme called coagulase, which protects the pathogen from the antibodies."
Budgeting and protection of revenues is a function of:
a. Leadership. b. Management. c. Team leadership. d. Followers.
A patient diagnosed with MODS is being mechanically intubated and is unable to eat. Enteral feedings are prescribed along with a proton-pump inhibitor. Which particular intervention is indicated related to this medication?
1. Monitor the serum sodium level. 2. Monitor the uric acid level. 3. Monitor for the development of ventilator-associated pneumonia. 4. Monitor for the development of urinary tract infection.
The nurse is assessing the eyes of an infant. The infant's mother asks when permanent eye color is established. The nurse states that permanent eye color is established by ____________________ months of age
Fill in the blank with correct word