An older patient with sleep apnea is prescribed continuous positive airway pressure (CPAP). What will the nurse explain to the patient about this treatment? Standard Text: Select all that apply.
1. Pressure keeps the airway open.
2. An oral airway is inserted each night.
3. The machine is noisy and will keep the patient awake.
4. Noninvasive treatment is administered through a nasal mask.
5. The face mask is uncomfortable but the patient will get used to it.
Question 2A 70-year-old client comes into the clinic for his pneumonia vaccine. During the client interview, he seems to have mild difficulty with some words and tells you he forgets the names of people at times.
He is alert, and oriented to time, person, and place. His responses seem appropriate. The nurse determines the cognitive changes that the client describes are
A) early symptoms of dementia.
B) indicators of depression in the elderly.
C) normal signs of aging.
D) memory impairment that may be related to cerebral ischemia.
Question 3An older patient is diagnosed with sleep apnea. Which interventions can the nurse add to the patient's care plan to address this health problem? Standard Text: Select all that apply.
1. Discussing smoking cessation techniques
2. Encouraging the patient to sleep on the side
3. Instructing to avoid alcohol before going to sleep
4. Suggesting sleeping in an upright position in a chair
5. Consulting with a dietitian to discuss meal planning for weight reduction
Question 4A nurse is caring for an elderly client in the hospital with CHF. This is the client's third admission in the last 2 months.
The client discloses to the nurse that the reason she keeps coming back to the hospital is that she can't afford to purchase her medications. Which of the following is the most appropriate initial response by the nurse?
A) I'm not surprised that you can't afford them. You are on a lot of medications.
B) Do you not have insurance?
C) I will contact our social services department. Someone from there will be up to see you before you are discharged.
D) There are several ways that we might be able to reduce the cost of your medications. Medicare Part D, generic medications, and samples from your physician's office are some of the ways we can try.
Question 5The nurse is teaching an older patient about an overnight sleep study to diagnose sleep apnea. What will the nurse include when teaching this patient? Standard Text: Select all that apply.
1. Oxygen saturation level will be measured.
2. An electrocardiogram will be used to measure heart activity.
3. Pins will be inserted into leg muscles to measure tone and tension.
4. An electromyogram will be done to measure face and leg movements.
5. An electroencephalogram will be done to measure brain wave activity.
Question 6A home health nurse is reviewing the medications that an older client is currently taking. Which of the following questions need to be included in the review? Select all that apply.
A) Ask the client to assemble all medications, including prescribed, OTC, herbal, and vitamins.
B) Ask the client how he is storing the medication.
C) Ask the client how he is paying for his medications.
D) Ask the client what side effects he would need to report to his physician.
E) Determine if the client has any cultural or ethnic beliefs that would impact compliance with the medication regime.
Question 7The nurse is concerned that an older patient has undiagnosed sleep apnea and is at risk for which additional health problem?
1. Underweight
2. Excessive deep sleep
3. Increased risk for sudden death and stroke
4. Excessive tension in the muscles of the throat and soft palate
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