The nurse suspects a patient is experiencing sleep apnea. Which ...

[londonang]

The nurse suspects a patient is experiencing sleep apnea. Which of the following did the nurse observe in this patient?
 
  a. Episode of not breathing ending with a loud snore
  b. Hypersomnia
  c. Sleep paralysis
  d. Hypnagogic hallucinations

Question 2

A child is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. The statement by the parent that would provide the most suspicion of abuse is:
 
  1. I did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when he rolled off the couch and onto our tile floor..
   2. The baby's 18-month-old brother was trying to pull him out of the crib and dropped the baby on the floor..
   3. I placed the baby in the infant swing. His 6-year-old brother was running through the house and tripped over the swing, causing it to fall..
   4. I was walking up the steps, slipped on the ice, and fell while carrying my baby..

[frankwu0507]

Answer to Question 1

A
Sleep apnea occurs because the tissue of the soft palate closes off the airway, resulting in the person not breathing. It then ends with a loud snore as the brain sends the message to breathe more forcefully. Hypersomnia is an alteration in sleep pattern characterized by excessive sleep during the day. Sleep paralysis is the experience of waking from sleep and being unable to move, speak, or cry out. Hypnagogic hallucinations are lifelike dreams and hallucinations that often incorporate elements of the environment and are experienced during the hypnagogic state.

Answer to Question 2

2. The baby's 18-month-old brother was trying to pull him out of the crib and dropped the baby on the floor..

Rationale:
All of the statements made by the parents are plausible from a developmental prospective except the statement, The baby's 18-month-old brother was trying to pull him out of the crib and dropped the baby on the floor.. Developmentally, it would be very difficult for an 18-month-old child to pull an infant out of a crib.

[londonang]

Gracias!

[FergA]

TYSM