Severe sleep apnea is diagnosed in a client after completion of a ...

[Caiter2013]

Severe sleep apnea is diagnosed in a client after completion of a series of sleep studies. The physician recommends a continuous positive airway pressure (CPAP) machine be used.
 
  The client is resistant, reporting he does not feel this is an unnecessary expense and snoring is not so bad. What response by the nurse is most beneficial at this time?
  A) Perhaps you can try sleeping in another position to reduce the snoring.
  B) The CPAP is about 75 effective in relieving upper obstruction and should be reconsidered.
  C) Untreated sleep apnea may increase your risk of cardiovascular complications.
  D) Since you have decided to forgo the CPAP, I would recommend you avoid caffeine and alcohol at bedtime.

Question 2

Which patients seen by a nurse working in the emergency department identify a situation that suggests a case of elder mistreatment?
 
  1. An 86-year-old patient who has three dime-size burned areas on the upper inner thigh
  2. A 77-year-old patient who fell at home after tripping over the dog and broke an arm about 30 minutes earlier
  3. A 73-year-old patient with a history of gastric ulcers who is found to be anemic after vomiting blood 3 hours earlier
  4. An 85-year-old patient who has several small areas of bruising on the back of the hands and is taking medication for platelets and coagulation

[GCabra]

Answer to Question 1

C

Answer to Question 2

1
Rationale: The patient who has skin burns suggestive of cigarette burns in an area normally covered by clothing is suggestive of abuse.