Which assessment observation would not support a diagnosis of ...

[Mr. Wonderful]

Which assessment observation would not support a diagnosis of narcolepsy?
 
  a. Sleep study reports excessive, loud snoring.
  b. Sleep study shows evidence of sleep paralysis.
  c. Patient reports needing to drink pots of coffee to stay awake at work.
  d. Patient reports, When I get sleepy I actually see things that aren't really there.

Question 2

An adult patient diagnosed with narcolepsy is being educated on the medication therapy that is prescribed. Which explanation is provided for the central nervous system stimulant dextroamphetamine (Dexedrine)?
 
  a. The apnea will be lessened by this medication.
  b. It will help control the sporadic loss of muscle tone.
  c. This medication will minimize the daytime sleepiness.
  d. Dexedrine will manage the inflammation that causes the snoring.

[thall411]

Answer to Question 1

ANS: A
Snoring is a characteristic obstructive sleep apnea, not narcolepsy. Classic symptoms of nar-colepsy include excessive daytime sleepiness, sleep paralysis, and hallucinations

Answer to Question 2

ANS: C
Central nervous system stimulants such as dextroamphetamine (Dexedrine, Dextrostat) may be prescribed to manage excessive daytime sleepiness. This medication has no affect on cata-plexy, apnea, or snoring. Apnea and snoring are not symptoms of narcolepsy.

[Mr. Wonderful]

Thank you

[thall411]

No problemo