The nurse is providing discharge teaching to a client with obstructive sleep apnea. Which statement by the client indicates correct understanding?

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Question 1 of 5

The nurse is providing discharge teaching to a client with obstructive sleep apnea. Which statement by the client indicates correct understanding?

Correct Answer: B

Rationale: The correct answer is B: Using my CPAP device will help reduce daytime sleepiness. This statement shows understanding that continuous positive airway pressure (CPAP) therapy is essential in managing obstructive sleep apnea and reducing daytime sleepiness. CPAP helps keep the airway open during sleep, improving oxygen levels and quality of sleep. It is a standard treatment for sleep apnea. Summary of incorrect choices: A: Sleeping on the back can actually worsen obstructive sleep apnea by causing the tongue to fall back and obstruct the airway. C: Stopping CPAP therapy abruptly can lead to symptoms returning or worsening. It is typically a lifelong therapy for most individuals with sleep apnea. D: Sleeping fewer hours will not improve sleep apnea symptoms; in fact, it can exacerbate daytime sleepiness and other symptoms.

Question 2 of 5

The nurse assesses a patient with chronic obstructive pulmonary disease (COPD) who has been admitted with increasing dyspnea over the past 3 days. Which finding is important for the nurse to report to the health care provider?

Correct Answer: A

Rationale: The correct answer is A because an increased respiratory rate of 36 breaths/min in a patient with COPD and worsening dyspnea can indicate respiratory distress or impending respiratory failure. This finding is crucial to report promptly to the healthcare provider for further evaluation and intervention. Choice B is incorrect because an anterior-posterior chest ratio of 1:1 is within normal limits and not directly related to the patient's current respiratory distress. Choice C is incorrect as decreased lung expansion bilaterally can be expected in a patient with COPD and may not necessarily warrant immediate concern unless it is significantly asymmetric or accompanied by other concerning signs. Choice D is incorrect as hyperresonance to percussion may be a typical finding in COPD due to increased lung volumes and is not an immediate priority compared to the elevated respiratory rate.

Question 3 of 5

The nurse assesses a patient with pneumonia who is experiencing pleuritic chest pain. Which action should the nurse take?

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Placing the patient in a side-lying position on the affected side helps improve lung expansion and ventilation in the affected area, reducing pleuritic chest pain. 2. This position can also help prevent pooling of secretions and potential complications like atelectasis. 3. Encouraging shallow breaths (Choice A) may worsen the patient's condition by leading to decreased lung expansion. 4. Administering morphine (Choice C) may mask the pain but does not address the underlying cause or promote lung expansion. 5. Incentive spirometry (Choice D) is beneficial for preventing atelectasis but may not provide immediate relief for pleuritic chest pain.

Question 4 of 5

A patient with pulmonary embolism is receiving anticoagulant therapy. Which lab result should the nurse monitor to evaluate treatment effectiveness?

Correct Answer: B

Rationale: The correct answer is B: Prothrombin time/international normalized ratio (PT/INR). PT/INR measures the clotting ability of the blood and is used to monitor the effectiveness of anticoagulant therapy. In patients with pulmonary embolism, the goal is to prevent further clot formation. Monitoring PT/INR helps adjust anticoagulant dosage to maintain therapeutic levels and prevent bleeding or clotting complications. Incorrect Choices: A: CBC provides information about red and white blood cells, not directly related to anticoagulant therapy monitoring. C: Serum creatinine is used to assess kidney function, not specifically related to anticoagulant therapy monitoring. D: Electrolyte levels are important for overall health, but not directly related to monitoring anticoagulant therapy effectiveness.

Question 5 of 5

The nurse teaches a patient how to minimize exposure to others while being treated for tuberculosis (TB). Which statement by the patient indicates a need for further teaching?

Correct Answer: C

Rationale: The correct answer is C because the patient should continue wearing a mask even after symptoms improve to prevent the spread of TB. Step 1: Wearing a mask helps minimize airborne transmission. Step 2: Discontinuing mask prematurely increases infection risk. Step 3: Options A, B, and D are correct as they promote isolation, ventilation, and precautions during the contagious period.

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