Which does the nurse use to help determine if a client has sleep apnea?
1. Client's sleep partner states the client chokes at night.
2. The client's sleep patterns are unchanged over 5 years.
3. Client's sleep partner states the client talks during sleep.
4. Client complains of frequent trembling and feeling jittery.
1
1. Choking during sleep is consistent with clinical indicators for sleep apnea; howev-er, a good diagnostician never relies on one assessment parameter to make a diagno-sis, so the nurse collaborates with the provider for further investigation. Sleep apnea is a risk factor for several serious health problems and warrants resolution.
2. Stable sleep patterns are not consistent with sleep apnea because the apneic periods should impair the client's rest and refreshment usually achieved with sleeping.
3. Talking during sleep is an indication of light sleeping but not of sleep apnea.
4. Trembling and jitteriness indicate anxiety, excessive stimulation, opioid withdraw-al, or neurological conditions.
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