A patient was recently diagnosed with obstructive sleep apnea ...

[bobypop]

A patient was recently diagnosed with obstructive sleep apnea (OSA) expresses to the nurse that he is afraid he will die in his sleep, despite the use of CPAP. What is the most appropriate statement by the nurse?
 
  1. It does happen sometimes, but you should be fine with the CPAP.
  2. That is not likely because the CPAP can breathe for you if you stop breathing.
  3. Don't worry, we'll be monitoring your oxygen saturation and we'll wake you up before that happens.
  4. That is not likely, because when your body has is not getting enough oxygen, it sends an awakening alert.

Question 2

The nurse is working with a patient who has been diagnosed with restless leg syndrome (RLS). The nurse recognizes this disorder may result in which symptoms or complications for the patient in the psychological domain? Select all that apply.
 
  1. Irritability and inability to concentrate
  2. Disruption of bed partner's sleep
  3. Inability to attend social functions due to discomfort
  4. Fragmented sleep
  5. Anxiety and mood changes

[iman]

Answer to Question 1

Answer: 4
Explanation: While many newly diagnosed individuals with OSA may fear dying in their sleep, it is highly unlikely. Chemoreceptors in the CNS monitor levels of carbon dioxide and oxygen, and send an awakening signal when changes occur. Telling the patient that he or she should be fine or that the patient's oxygen saturation will be monitored is not therapeutic and does not address the patient's concerns. The CPAP device does not breathe for the patient; rather, it is used to provide positive-pressure to the patient's airway to splint open the airway. CPAP does not have a backup rate.

Answer to Question 2

Answer: 1, 2, 3, 5
Explanation: Symptoms and complications of RLS that occur within the psychological domain include irritability, inability to concentrate, anxiety, and mood changes. Within the biological domain, the patient experiences fragmented sleep and uncomfortable or unpleasant leg sensations. In the sociological domain, RLS can disrupt the bed partner's sleep and result in inability to attend social functions due to discomfort.

[bobypop]

Excellent

[Joy Chen]

Gracias!