A pediatric patient has been diagnosed with obstructive sleep ...

[ereecah]

A pediatric patient has been diagnosed with obstructive sleep apnea (OSA). Which statement would the nurse use as a basis for explaining the etiology of this disorder?
 
  a. Melatonin is not being released in sufficient quantity.
  b. This condition is often due to adenotonsillar hypertrophy.
  c. Children have a high ratio of REM sleep that can result in frequent gasping.
  d. This can be related to a sleep position which compromises chest movement.

Question 2

The mother of a teenager is concerned that the child may be anorexic. Which report of the teenager's behavior is support of such a diagnosis?
 
  a. Insists she likes really baggy clothes
  b. Will eat only lean protein, fruits, and vegetables
  c. Has had one menstrual period in the last 2 years
  d. Although she has grown 3 inches, she has gained no weight
  e. Regularly claims that she will eat later but seldom does

[nmyers]

Answer to Question 1

ANS: B
When OSA is found in children, it is usually the result of adenotonsillar hypertrophy, cranio-facial abnormalities, and neuromuscular conditions, all of which result in airway obstruction during sleep. There is no research on OSA related to melatonin insufficiency, dreaming, or a particular sleep position.

Answer to Question 2

ANS: A, C, D, E
A willingness to eat lean meats, fruits, and vegetables would not be characteristic of a patient exhibiting anorexia. The remaining options could be seen in such a patient.

[ereecah]

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TYSM