The patient with sleep apnea is fitted with a continuous positive airway pressure (CPAP) mask and asks the nurse how this device will help. The nurse correctly responds with which statement?

a. "The device delivers constant positive pressure to keep your airway open."
b. "The device will require you to be intu-bated to open your airway."
c. "The device delivers oxygen only when you are apneic."
d. "The device delivers negative pressure to stimulate your respirations."


A
The CPAP mask delivers a constant positive pressure to keep the airway open. CPAP does not require intubation and does not deliver negative pressure.

Nursing

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A nurse saw there was a need for a hospice facility in a rural area, because so many of the residents were quite elderly and death was common. Which of the following best explains why the community would not immediately see the wisdom of the nurse's suggestion?

a. Change is always difficult; the nurse just needs to keep reinforcing the need for such a facility. b. The nurse did not tell residents how much their taxes would need to go up to support such a facility. c. Residents were fearful of confronting death in such an open way. d. Rural residents prefer to use their informal social support networks when help is needed.

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The nurse is caring for several postoperative clients on the unit. Which client does the nurse assess first?

a. Client with 200 mL dark drainage from the nasogastric tube in an hour b. Client who received oral pain medication 20 minutes ago c. Client who has not yet ambulated after surgery 4 hours ago d. Client requiring discharge teaching and whose family is present

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Which assessment finding obtained while taking the history of an older adult client alerts the nurse that the client needs further assessment for fluid or electrolyte imbalance?

a. "I am often cold and need to wear a sweater." b. "I seem to urinate more when I drink cof-fee." c. "In the summer, I feel thirsty more often." d. "My rings seem to be tighter this week."

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Why is it important for the newly admitted patient to be included in his care-planning session? (Select all that apply.)

a. So he can maintain some degree of control b. So he can reject the care plan c. So he can voice his preferences d. So he can improve his problem-solving capabilities e. So he can gain insight to overall goals of care

Nursing