Progressive Care Nursing Certification (PCCN) Practice Exam

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A patient with elevated BMI is showing symptoms of sleep apnea. What intervention is indicated?

  1. Monitoring for hypotension

  2. Administering small doses of benzodiazepines

  3. Performing a mini-mental status exam

  4. Collaborating with the physician for use of a CPAP mask

The correct answer is: Collaborating with the physician for use of a CPAP mask

In managing a patient with an elevated BMI who is showing symptoms of sleep apnea, collaboration with the physician to initiate the use of a CPAP (Continuous Positive Airway Pressure) mask is a critical intervention. Sleep apnea often leads to intermittent obstruction of the upper airway, particularly during sleep, resulting in disrupted breathing patterns and decreased oxygenation. A CPAP mask helps to maintain a steady flow of air into the patient's airway, thereby preventing the airway from collapsing and promoting uninterrupted breathing and improved oxygenation during the night. Implementing CPAP therapy can significantly enhance the quality of sleep, reduce the risks associated with sleep apnea, such as cardiovascular complications, and improve overall health outcomes for the patient. This intervention is a standard and effective treatment in sleep apnea management, especially for patients with higher body mass indices, who are at an increased risk for this condition. Monitoring for hypotension, administering benzodiazepines, and performing a mini-mental status exam may not directly address the underlying issue of sleep apnea and its associated symptoms. While monitoring vital signs is important in a comprehensive care plan, it does not provide a direct therapeutic approach to managing sleep apnea. Similarly, benzodiazepines may have sedative effects but can exacerbate respiratory depression, particularly in patients with