27. A client's wife tells a nurse that her husband snores loudly when sleeping, then he actually stops breathing. The nurse informs the client's wife that a physician can order a sleep study and he may need to use:
. A negative pressure ventilation device such as a pneumo-wrap.
. A time-cycled ventilator that will deliver a set volume of air.
. A continuous positive airway pressure (CPAP) device.
Test-Taking Tip
Three of the options are artificial ventilation systems. The problem is with the airway.
Content Area: Adult Health, Respiratory; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Therapeutic Procedures
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Answer 1 is incorrect because negative pressure on the external chest does not require intubation and will not keep the airway open during sleep, which is needed. Answer 2 is incorrect because this type of ventilator controls inspiration, not expiration, which is the problem. Answer 3 is correct because CPAP is used to prevent airway collapse associated with obstruction during sleep. Answer 4 is incorrect because this is a ventilator mode that provides a combination of mechanical and spontaneous breaths.