Author Question: The client is being treated with a nasal continuous positive airway pressure device (CPAP) for sleep ... (Read 37 times)

jeatrice · **on:** Jul 23, 2018

The client is being treated with a nasal continuous positive airway pressure device (CPAP) for sleep apnea. What finding indicates that this treatment has been helpful to the client?

1. The client has lost 7 pounds since treatment began.
2. The client sleeps so soundly that he snores.
3. The client's diabetes is now under control.
4. The client reports a decrease in morning headache.

Question 2

The 70-year-old client tells the nurse, I can go to sleep without a problem, but then I wake up in a couple of hours and can't go back to sleep. What nursing action would help promote rest and sleep in this client?

1. Have the client develop a bedtime ritual of quiet music and a glass of wine.
2. Encourage the client to avoid taking pain medication prior to sleep.
3. Evaluate if the client perceives sleeplessness to be a serious problem.
4. Have the client perform moderate exercises before bedtime.

kthug · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Weight loss is not a direct result of CPAP therapy.
Rationale 2: Snoring is a sign of apnea, not sound sleeping.
Rationale 3: Successful treatment for sleep apnea will not help control diabetes.
Rationale 4: The fact that the client experiences a decrease in morning headache indicates the client is sleeping better.

Answer to Question 2

Correct Answer: 3
Rationale 1: Alcohol can interfere with sleep.
Rationale 2: If the client has pain, the nurse should not encourage avoidance of medication.
Rationale 3: The first intervention is to determine what the pattern of sleeplessness means to the client. Many older clients will nap off and on through the day and night and spend wakeful times engaged in activity, even if the active times are not during traditional active hours.
Rationale 4: Exercise can interfere with sleep.