When caring for patients with sleep disorders, which activity can ...

[geoffrey]

When caring for patients with sleep disorders, which activity can the nurse appropriately delegate to unlicensed assistive personnel (UAP)?
 
  a. Interview a new patient about risk factors for obstructive sleep disorders.
  b. Discuss the benefits of oral appliances in decreasing obstructive sleep apnea.
  c. Help a patient choose an appropriate continuous positive airway pressure (CPAP) mask.
  d. Assist a patient to place the CPAP device correctly over the nose and mouth at bedtime.

Question 2

Which information regarding a patient's sleep is most important for the nurse to communicate to the health care provider?
 
  a. 64-year-old nurse who works the night shift reports drinking hot chocolate before going to bed in the morning
  b. 21-year-old student who takes melatonin to assist in sleeping when traveling from the United States to Europe
  c. 41-year-old librarian who has a body mass index (BMI) of 42 kg/m2 says that the spouse complains about snoring
  d. 32-year-old accountant who is experiencing a stressful week uses diphenhydramine (Benadryl) for several nights

[Missbam101]

Answer to Question 1

ANS: D
Because CPAP mask placement is consistently done in the same way, this is appropriate to delegate to UAP. The other actions require critical thinking and nursing judgment, and should be done by the RN.

Answer to Question 2

ANS: C
The patient's BMI and snoring suggest possible sleep apnea, which can cause complications such as cardiac dysrhythmias, hypertension, and right-sided heart failure. Melatonin is safe to use as a therapy for jet lag. Short-term use of diphenhydramine in young adults is not a concern. Hot chocolate contains only 5 mg of caffeine and is unlikely to affect this patient's sleep quality.

[geoffrey]

Correct answers!

[Missbam101]

Great! Please up vote