The client, newly prescribed continuous positive pressure ...

[nummyann]

The client, newly prescribed continuous positive pressure ventilation, complains that the forced air is bothersome. Which interventions could the nurse recommend to reduce the client's discomfort?
 
  Select all that apply.
 
  1. Ramping over 15 minutes
  2. Using heated humidification
  3. Reducing the pressure
  4. Increasing the oxygen concentration
  5. Changing the client's position

Question 2

The nurse is caring for a client requiring noninvasive continuous positive pressure ventilation for obstructive sleep apnea. Which less invasive treatments to reduce sleep apnea would the nurse explore prior to initiating this intervention?
 
  Select all that apply.
  1. Surgery to remove the uvula
  2. Community support groups
  3. Oral appliances to advance the lower jaw and base of the tongue
  4. Weight loss
  5. Medications

[choc0chan]

Answer to Question 1

Correct Answer: 1,2

Ramping, or increasing the pressure gradually over 15 minutes, and heated humidification can reduce the discomfort of the forced air if it bothers the client. Reducing the pressure could result in continued sleep apnea. Many clients using continuous positive pressure ventilation do not require oxygen, and changing the concentration of oxygen, if needed, would not reduce the discomfort described by the client. Changing the client's position would not reduce this discomfort.

Answer to Question 2

Correct Answer: 3,4

Oral appliances or weight loss can be effective in reducing obstructive sleep apnea, and would be less invasive than continuous positive pressure ventilation. Surgery is more invasive. Community support groups can be helpful in dealing with the disease, but will not reduce obstructive sleep apnea. There are no known medications for obstructive sleep apnea at this time.

[nummyann]

Thanks for the timely response, appreciate it

[amit]

Excellent