The nurse observes a patient's respirations during sleep and ...

[cookcarl]

The nurse observes a patient's respirations during sleep and notes the absence of respirations that lasts from 15 to 45 seconds. What should the nurse consider this patient is experiencing?
 
  1. laryngeal spasm
  2. sleep apnea
  3. respiratory acidosis
  4. renal failure

Question 2

A patient who is scheduled for a partial laryngectomy asks if he will still be able to talk after the surgery. Which response would be appropriate for the nurse to make?
 
  Select all that apply.
  1. No.
  2. You will have to ask your physician.
  3. Yes, but it might sound a little different.
  4. You will, but with an electronic device.
  5. Normal speaking, breathing, and swallowing will return as you recover.

[amy.lauersdorf90]

Answer to Question 1

Correct Answer: 2
Manifestations of obstructive sleep apnea include periods of apnea that last 15 to 120 seconds. No symptoms of laryngeal spasm or renal failure are noted. Respiratory acidosis would be diagnosed from arterial blood gases.

Answer to Question 2

Correct Answer: 3, 5
In a partial laryngectomy, 50 or more of the larynx is removed. The voice generally is well preserved, although it may be changed by the surgery. The patient can expect normal speaking, breathing, and swallowing to return upon recovery from surgery. With knowledge of a partial laryngectomy, the nurse is able to answer the question. The use of an electronic device is generally not necessary following a partial laryngectomy.