EENT and Sleep Disorders Q 68 - Gyan Darpan : Learning Portal
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Tuesday, 22 March 2022

EENT and Sleep Disorders Q 68

When assessing a client for obstructive sleep apnea (OSA), the nurse understands the most common symptom is:
     A. Headache
     B. Early awakening
     C. Impaired reasoning
     D. Excessive daytime sleepiness

Correct Answer: D. Excessive daytime sleepiness

Excessive daytime sleepiness is the most common complaint of people with OSA. Persons with severe OSA may report taking daytime naps and experiencing a disruption in their daily activities because of sleepiness. OSA is associated with daytime somnolence and affects millions of people. The apneic episodes may occur hundreds of times each night and are associated with alterations in heart rate, drop in oxygen saturation, and loud breathing sounds.

Option A: Obstructive sleep apnea (OSA) is characterized by episodes of the complete or partial collapse of the airway with an associated decrease in oxygen saturation or arousal from sleep. This disturbance results in fragmented, nonrestorative sleep. Other symptoms include loud, disruptive snoring, witnessed apneas during sleep, and excessive daytime sleepiness.
Option B: They may also complain of waking to gasp for breath or choking, sleep maintenance insomnia, night sweats, nighttime reflux, and nocturia in the absence of excessive nighttime liquid intake.
Option C: The typical adult obstructive sleep apnea patient is an overweight or obese middle-aged male or postmenopausal female with excessive daytime sleepiness and loud nightly snoring.

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