A patient with sleep apnea who uses a continuous positive airway pressure (CPAP) device is preparing to have inpatient surgery. Which instructions should the nurse provide to the patient?
a. Remind the patient to take the CPAP device to the hospital.
b. Plan to schedule a nighttime polysomnography (PSG) study before surgery.
c. Discourage the patient from requesting pain medication while hospitalized.
d. Call the hospital to ensure that mechanical ventilation will be available for the patient.
ANS: A
The patient should be told to take the CPAP device to the hospital if an overnight stay is expected. Many patients will be able to use their own CPAP equipment, but hospital policy should be checked to make sure it can be used. Patients should be treated for pain and monitored for respiratory depression. Another PSG is not required before surgery. There is no need to call the hospital if the patient takes the CPAP device to the hospital.
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