Author Question: The client who has obstructive sleep apnea is being treated with a nasal continuous positive airway ... (Read 81 times)

bucstennis@aim.com · **on:** Jul 23, 2018

The client who has obstructive sleep apnea is being treated with a nasal continuous positive airway pressure (CPAP) device, but has just been prescribed modafinil (Provigil).

What client statement indicates that teaching about these therapies has been effective?
1. I am so glad that I won't have to sleep in this machine anymore.
2. Once I get regulated on the Provigil, I will wean myself off the CPAP.
3. I will continue using my CPAP machine at night.
4. I can turn down the pressure on my CPAP machine in about 1 week.

Question 2

The client has been prescribed zolpidem (Ambien) for the short-term management of insomnia. What information should the nurse include when teaching the client about this medication?

1. For best results, take the medication just prior to bedtime.
2. Take the medication at dinnertime to avoid gastric upset.
3. Do not take the medication with any liquid that contains calcium.
4. Drink an entire glass of water with the dose to avoid kidney stones.

k.lashomb · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale: Provigil is a medication that is for the treatment of narcolepsy, not sleep apnea. It will not prevent sleep apnea, so the client must continue to use the CPAP machine as it was used prior to the Provigil.

Answer to Question 2

Correct Answer: 1
Rationale 1: Zolpidem (Ambien) has a rapid onset of action, so for best results and decreased sedation while awake, the client should take the medication just prior to bedtime.
Rationale 2: The client should not take the medication at dinnertime, which is probably some hours before bedtime.
Rationale 3: There is no reason to avoid calcium when taking this medication.
Rationale 4: There is no need for extra water when taking this medication.