Medical Surgical Obstructive Sleep Apnea (OSA) #3
The nurse is providing teaching to a client diagnosed with obstructive sleep apnea (OSA). Which statement by the client indicates additional teaching is needed?
- “A short afternoon nap will help by increasing my daytime alertness.”
This answer is correct because it is important to avoid naps since naps reduce your sleep deficit. When adjusting to CPAP, it is important to have a sleep deficit because it will make you more tired at bedtime. Especially with beginners, the more tired you are, the faster you will fall asleep with CPAP.
- “Losing weight by exercising may someday help resolve my OSA.”
This answer is not correct because losing weight by exercising will help reduce the fat deposition around the upper airways. Fatty deposits contribute to decreased lung volume which makes it more difficult to breathe.
- “I will not drink alcohol before going to sleep for the night.”
This answer is not correct because drinking alcohol before bed increases your risk of sleep apnea. This is due to the relaxation that alcohol causes, relaxing the muscles in the throat making it more likely for the upper airway to collapse.
- “I will not eat my dinner right before bedtime.”
This answer is not correct because a large meal at least 2 hours before bedtime is discouraged with clients who have sleep apnea. A large meal will increase pressure on the diaphragm and worsen breathing.
The client with OSA will require some lifestyle modifications. Adjusting sleep positioning, losing weight, and avoiding alcohol are just a few adaptations to examine.
Education for OSA includes encouragement of weight loss and exercise, avoiding alcohol, or other sedatives before bedtime, cease daytime napping, and not eating a large dinner before bedtime. Losing weight by exercising will help reduce the fat deposition around the upper airways, making it easier to breathe. The relaxation felt by alcohol causes the muscles in the throat to loosen, making it more likely for the upper airway to collapse. Avoiding naps reduces sleep deficit, allowing you to feel more tired before you go to bed. A large meal will increase pressure on the diaphragm and worsen breathing.
Test Taking Tip
Speaking of sleep apnea, make sure you get enough sleep the night before your test! Studies show getting a full night’s sleep helps your brain consolidate new information.