A patient with obstructive sleep apnea is unhappy using CPAP ...

[ericka1]

A patient with obstructive sleep apnea is unhappy using CPAP therapy and asks the nurse if there is something else he can try. What is the best statement by the nurse?
 
  1. Perhaps a class in sleep hygiene would be helpful.
  2. Certain classes of sleeping pills are sometimes effective in OSA.
  3. Cognitive-behavioral therapy works for some people with OSA.
  4. Oral-pharyngeal surgery, some appliances, or weight loss are sometimes utilized.

Question 2

The nurse is instructing a patient on sleep hygiene for his sleep-wake disorder. Which guidelines will the nurse include for this patient? Select all that apply.
 
  1. Arise at the same day every day, all 7 days of the week.
  2. Cut down on any food or beverage that contains caffeine.
  3. Take periodic naps to avoid becoming stressed.
  4. Eat healthy meals and do not go to bed hungry.
  5. Drink one glass of wine before bed to aid relaxation.

[HandsomeMarc]

Answer to Question 1

Answer: 4
Explanation: OSA is sometimes treated with surgery, appliances, or weight loss. Because the patient is having issues, the nurse can also refer him to his sleep medicine provider for more information. Sleeping pills, cognitive-behavioral therapy, and sleep hygiene classes do not work for the underlying cause of sleep apnea although they may be employed if the patient has multiple sleep issues.

Answer to Question 2

Answer: 1, 2, 4
Explanation: A regular wake time helps to set the body's clock. Going to bed hungry may disturb sleep. Any caffeinated food or beverage may cause shallow sleep or difficulty falling or staying asleep. Napping may make it harder to fall asleep at night. Caution patients to avoid alcohol, because although it may help with falling asleep, it can cause patients to wake during the night.

[ericka1]

Excellent

[milbourne11]

TYSM