When explaining an upcoming test, a polysomnography, the nurse ...

[audragclark]

When explaining an upcoming test, a polysomnography, the nurse should include which of the following education related to equipment placements the patient will have placed on his or her person during the sleep study? Select all that apply.
 
  A)
  An ECG with lots of chest leads will monitor heart rate and rhythm.
  B)
  A pulse oximeter placed on a finger is used to determine arterial oxygen saturation.
  C)
  An EOG will be placed on the skin near the eye to record eye movements.
  D)
  An EMG patch will be placed under the chin to record muscle movement.
  E)
  An actigraph device will be placed on the wrists and ankles to measure body motion.

Question 2

When educating the parents of a child who has just had tympanostomy tube insertion, the nurse should provide further teaching if the parents say which of the following statements?
 
  A)
  I will call the physician if I see that the tube has come out.
  B)
  I will be looking for any drainage coming from the ears.
  C)
  I'm so glad that we can take the child swimming next week when we go on vacation.
  D)
  I'm so glad we had the child tested for allergies prior to having these tubes placed.

[reelove4eva]

Answer to Question 1

Ans:
A, B, C, D

Feedback:

The ECG, which measures heart rate, is used to detect cardiac rhythm disorders, and the pulse oximeter is used to determine arterial oxygen saturation, which indicates adequacy of ventilation. The EOG, which records eye movements, and the EMG, which records muscle movement, will also be attached. During REM sleep, the eyes move rapidly, but the muscles are paralyzed. Periods during which the EOG recorded lots of movement, and the EMG recorded very little, would indicate REM sleep. An actigraph device will be placed on the wrists and ankles to measure body motion for obtaining objective measurements of sleep duration.

Answer to Question 2

Ans:
C

Feedback:

After tube insertion, the ears of children with tubes must be kept out of water. All of the other distracters are normal post-op teaching for this procedure. Anytime a device comes out after surgery, the physician should be notified. Routine post-op education includes looking for infection, which in this case could be fever, increase in drainage from the ear, or restlessness. Prior to surgery, most children with recurrent otitis media have allergy testing performed.

[audragclark]

Gracias!

[Mochi]

TYSM