The nurse observes that a male patient is snoring every night. ...

[schs14]

The nurse observes that a male patient is snoring every night. Which should the nurse assess in this patient to diagnose the potential for sleep apnea? (Select all that apply.)
 
  a. Change in appetite
  b. Rituals for sleeping
  c. Number of daytime naps
  d. Headaches in the morning
  e. Irritability during the day
  f. Awakening during the night

Question 2

Residents of a nursing home taking which of the following medication(s) are at risk for sleep disturbances as an adverse effect of the medication? (Select all that apply.)
 
  a. Celecoxib (Celebrex)
  b. Diltiazem (Cardizem)
  c. Venlafaxine (Effexor)
  d. Ipratropium (Atrovent)
  e. Oxycodone (Oxycontin)
  f. Guaifenesin (Robitussin)

[Mochi]

Answer to Question 1

C, D, E, F
The nurse asks the patient to evaluate how restorative or refreshing sleeping is for him; awaken-ing unrefreshed is a risk factor for sleep apnea. In addition, morning headaches, daytime irritabil-ity and personality changes, and periods of nighttime wakefulness are all risk factors for sleep apnea. Changes in appetite and rituals for sleeping are rarely associated with an increased risk for sleep apnea.

Answer to Question 2

A, B, C, D, E
Celecoxib (Celebrex), a cyclooxygenase-2 (COX-2) inhibitor; diltiazem (Cardizem), a cal-cium-channel blocker; venlafaxine (Effexor), an antidepressant; ipratropium (Atrovent), an anti-cholinergic bronchodilator; and oxycodone (Oxycontin), an opioid analgesic, can all cause in-somnia. Guaifenesin (Robitussin) is not known to cause insomnia.