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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The nurse working in a physician's office admits a teen boy for a physical examination who was accompanied to the office by his mother. The nurse's best action is to:
1. Ask the adolescent if he would like his mother to accompany him to the examination room. 2. Instruct the mother that she will not be allowed in the exam room, but can join her son when the doctor has finished the exam. 3. Ask the mother if she wants to accompany her son to the examination room. 4. Allow the mother and son to reach their own decision without interfering.
A nursing student is undergoing a community health clinical rotation. One of the patients is a 53-year-old grandmother who has recently assumed custody of her daughter's two young children, ages 3 and 5 years old
Regarding the children's welfare, which of the following is most important for the nursing student to assess on this visit? a. The patient's financial ability to care for two young children b. The patient's knowledge of safety precautions for young children c. The patient's emotional stability d. The patient's feelings regarding taking on this responsibility
If prescribing bupropion (Zyban) for tobacco cessation, the instructions to the patient include:
1. Bupropion (Zyban) is started 1 to 2 weeks before the quit date. 2. Nicotine replacement products should not be used with bupropion. 3. If they smoke when taking bupropion they may have increased anxiety and insomnia. 4. Because they are not using bupropion as an antidepressant, they do not need to worry about increased suicide ideation when starting therapy.
Two other age-related factors have an impact on the effect of a drug: ________ and other ________.
Fill in the blank(s) with the appropriate word(s).