Author Question: Which outcome is appropriate for an adult patient recently diagnosed with primary in-somnia? a. ... (Read 61 times)

sheilaspns · **on:** Jul 19, 2018

Which outcome is appropriate for an adult patient recently diagnosed with primary in-somnia?

a. Demonstrate an understanding of the cerebral stimulants prescribed.
b. Recognize that the prescribed flurazepam (Dalmane) can be used for up to 2 months.
c. Demonstrate the proper use of continuous positive airway pressure (CPAP) venti-lation.
d. Recognize physical and psychosocial stressors that exacerbate the sleep disturb-ance.

Question 2

Which physical assessment finding is supportive of a diagnosis of obstructive sleep ap-nea?

a. Barrel chest
b. Raccoon eyes
c. Enlarged nasal nares
d. Large neck circumference

ong527 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
The patient should identify physical and psychosocial stressors that exacerbate the sleep dis-turbance in order to attempt successful self-management of the problem. Neither stimulants nor CPAP therapy are prescribed for this disorder. The duration of flurazepam therapy is considerably shorter.

Answer to Question 2

ANS: D
Persons with obstructive sleep apnea often have a large neck circumference that appears to be related to pressure being applied to the trachea. Neither an enlarged chest nor enlarged nos-trils would cause the airway obstruction associated with this disorder. Blackened eyes are related to trauma or allergies.