Author Question: The nurse is completing an assessment on an older-adult patient who is having difficulty falling ... (Read 77 times)

LaDunn · **on:** Jul 22, 2018

The nurse is completing an assessment on an older-adult patient who is having difficulty falling asleep. Which condition will the nurse further assess for in this patient?

a. Depression
b. Mild fatigue
c. Hypertension
d. Hypothyroidism

Question 2

A patient has obstructive sleep apnea. Which assessment is the priority?

a. Gastrointestinal function
b. Neurological function
c. Respiratory status
d. Circulatory status

Swizqar · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: A
Older adults and other individuals who experience depressive mood problems experience delays in falling asleep, earlier appearance of REM sleep, frequent awakening, feelings of sleeping poorly, and daytime sleepiness. A person who is moderately fatigued usually achieves restful sleep, especially if the fatigue is the result of enjoyable work or exercise. Hypertension often causes early-morning awakening and fatigue. Alcohol speeds the onset of sleep. Hypothyroidism decreases stage 4 sleep.

Answer to Question 2

ANS: C
In obstructive sleep apnea, the upper airway becomes partially or completely blocked, diminishing nasal airflow or stopping it. The person still attempts to breathe because the chest and abdominal movement continue, which results in loud snoring and snorting sounds. According to the ABCs of prioritizing care, airway and respiratory status takes priority over gastrointestinal, circulatory, and neurologic functioning.