NURS 434 Exam 1 Study Guide QUESTIONS WITH ANSWERS

NURS 434 Exam 1 Study Guide |\ |\ |\ |\ |\ |\




QUESTIONS WITH ANSWERS |\ |\




What is CPAP used for? - CORRECT ANSWERS ✔✔Chronic
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Problems


What is BiPAP used for? - CORRECT ANSWERS ✔✔Acute
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Problems


A patient with mild sleep apnea has
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____-____ events per hour. - CORRECT ANSWERS ✔✔5-10
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A patient with moderate/severe obstructive sleep apnea
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has ____-_____ events per hour. - CORRECT ANSWERS
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✔✔greater than 15 |\ |\




How is air deliver with the CPAP? - CORRECT ANSWERS
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✔✔Continuously at a single pressure |\ |\ |\ |\




How is air delivered by a BiPAP? - CORRECT ANSWERS
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✔✔Changes with the patients inspiration and expiration.
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Maintains positive airway pressure during inspiration and
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expiration

,What education should you provide a patient with
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obstructive sleep apnea? - CORRECT ANSWERS ✔✔- |\ |\ |\ |\ |\ |\



Weight loss |\




-Avoid Alcohol and Drugs |\ |\ |\




-Try not to sleep on back
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Which sleeping device should be used for mild sleep
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apnea? - CORRECT ANSWERS ✔✔NONE |\ |\ |\ |\




What are common signs that a patient may be having
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issues with sleep apnea? - CORRECT ANSWERS ✔✔a.
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Insomnia, Waking up frequently/snoring |\ |\ |\




b. Daytime Sleepiness
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c. Morning Headaches
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d. Personality changes/Irritability
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When conducting a physical exam for sleep apnea what
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are we looking for? - CORRECT ANSWERS ✔✔Macroglossia
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(big tongue) and Micrognathia (lower jaw smaller than
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the upper |\




What diagnostic test is often done for patients that are
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suspected to have sleep apnea? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\



✔✔Polysomnography

,What does polysomnography look at? - CORRECT
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ANSWERS ✔✔Sleep study that tracks breath pattern, HR,|\ |\ |\ |\ |\ |\ |\ |\



Brain activity, and O2 Sat
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What is our main goal when conducting a sleep study? -
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CORRECT ANSWERS ✔✔look for how many pauses the |\ |\ |\ |\ |\ |\ |\ |\



patient has per hour |\ |\ |\




What surgical procedure can be performed for patients
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with obstructive sleep apnea? - CORRECT ANSWERS
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✔✔Uvulopalatopharyngoplasty


What is done during a Uvulopaletopharyngoplasty? -
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CORRECT ANSWERS ✔✔Gives more space for air to move |\ |\ |\ |\ |\ |\ |\ |\ |\



by cutting downsize with a laser
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What education must you provide to a patient getting a
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Uvulopaletopharyngoplasty done? - CORRECT ANSWERS |\ |\ |\ |\ |\



✔✔Takes weeks to be effective and they must be on a soft
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diet
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A patient that has just received a
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Uvulopaletopharyngoplasty should call the doctors office |\ |\ |\ |\ |\ |\



if they experience what? - CORRECT ANSWERS ✔✔Fever
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or are coughing up blood
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, If the patient has severe life threatening sleep apnea
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what is done? - CORRECT ANSWERS ✔✔Tracheostomy or
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Bariatric surgery to promote weight loss
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What should V/Q be ideally? - CORRECT ANSWERS ✔✔1
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What happens when a patient experiences acute
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respiratory failure? - CORRECT ANSWERS ✔✔They fail to
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ventilate/oxygenate the body |\ |\




With acute respiratory distress syndrome (ARDS) what
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injuries the capillary membranes? - CORRECT ANSWERS
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✔✔Systemic Inflammation |\




What happens when the capillary membrane is injured
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(commonly seen in ARDS) - CORRECT ANSWERS ✔✔The
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injuries Capillary membrane allows fluid to leak into the
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lung spaces causing the patient to drown in their lungs
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What causes SARS (severe acute respiratory distress
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syndrome) - CORRECT ANSWERS ✔✔Viral Infection
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causing an inflammatory response
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What is a normal pH? - CORRECT ANSWERS ✔✔7.35-7.45
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