NU254/NUR2571 Professional Nursing II
Mod 4 quiz
Status Completed
Attempt Score 10 out of 10 points
Time Elapsed 6 minutes
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Answered Questions
Question 1
0.5 out of 0.5 points
A nurse assesses a patient who reports waking up feeling very tired, even after 8 hours of
good sleep. What action would the nurse take first?
Selected Answer: b.
Ask the patient if he or she has ever been evaluated for sleep apnea.
Answers: a.
Tell the patient not to drink beverages with caffeine before bed.
b.
Ask the patient if he or she has ever been evaluated for sleep apnea.
c.
Contact the provider for a prescription for sleep medication.
d.
Educate the patient to sleep upright in a reclining chair.
Response
Feedback:
Patients are usually unaware that they have sleep apnea, but it would be
suspected in people who have persistent daytime sleepiness and report
waking up tired. Causes of the problem would be assessed before the
patient is offered suggestions for treatment.
Question 2
0.5 out of 0.5 points
A nurse assesses patients on the medical-surgical unit. Which patient is at greatest risk
for development of obstructive sleep apnea?
Selected Answer: c.
A 55-year-old woman who is 50 lbs (23 kg) overweight
Answers: a.
A 73-year-old man with type 2 diabetes mellitus
b.
A 26-year-old woman who is 8 months pregnant
c.
A 55-year-old woman who is 50 lbs (23 kg) overweight
d.
A 42-year-old man with gastroesophageal reflux disease
Response
Feedback:
The patient at highest risk would be the one who is extremely
overweight. None of the other patients have risk factors for sleep
apnea.
Question 3
0.5 out of 0.5 points
While assessing a patient who has facial trauma, the nurse auscultates stridor. The patient
is anxious and restless. What action would the nurse take first?
Selected Answer: b.
Contact the provider and prepare for intubation.
Answers: a.
Place the patient in high-Fowler’s position.
b.
Contact the provider and prepare for intubation.
c.
Administer prescribed albuterol nebulizer therapy.
d.
Ask the patient to perform deep-breathing exercises.
Response
Feedback:
Facial and neck tissue edema can occur in patients with facial trauma.
Airway patency is the highest priority. Patients who experience stridor and
hypoxia, manifested by anxiety and restlessness, would be immediately
intubated to ensure airway patency. Albuterol decreases bronchi and
bronchiole inflammation, not facial and neck edema. Although putting the
patient in high-Fowler’s position and asking the patient to perform
breathing exercises may temporarily improve the patient’s comfort, these
actions will not decrease the underlying problem or improve airway
patency.
Question 4
0.5 out of 0.5 points
A nurse is caring for a patient who has sleep apnea and is prescribed modafinil
(Provigil). The patient asks, “How will this medication help me?” How would the nurse
respond?
Selected Answer: a.
“This medication will promote daytime wakefulness.” [Show Less]