The nurse is caring for a client experiencing a respiratory pattern characterized by initially slow, shallow respirations increasing in rapidity and depth, followed by a gradual decrease until respiration stops for 10 to 20 seconds, which then
repeats itself. The nurse would document this type of respiration as: a. Biot's respirations c. Kussmaul's respira-tions
b. Cheyne-Stokes res-pirations d. tachypnea
B
Cheyne-Stokes respirations is a respiratory pattern characterized by initially slow, shallow respirations increasing in rapidity and depth, followed by a gradual decrease until respiration stops for 10 to 20 seconds, which then repeats itself.
You might also like to view...
For a client who is receiving a cholinesterase inhibitor, which of the following can the nurse recommend to the client's caregiver to decrease the client's risk for injury? Select all that apply
A) Observe frequent drug holidays. B) Encourage the use of assistive devices. C) Keep the bed in a low position. D) Use night lights. E) Decrease drug dose if mobility worsens.
To treat a dysrhythmia, atropine sulfate has been administered intravenously. The nurse would monitor for:
1. weight gain. 2. tachycardia. 3. muscle twitching. 4. incontinence of urine.
Which of the following is not a cognitive skill of clinical judgment that relies on the application of critical thinking skills?
a. biased inquiry b. evaluation c. intuition d. creative analysis of a cause and effect
Antibiotics have been ordered for a newborn with an infection. Which of the following interventions should the nurse prepare to implement? (Select all that apply.)
A. Obtain sterile urine specimen for culture. B. Restrict parental visits. C. Evaluate bilirubin levels. D. Administer oxygen as ordered. E. Observe for signs of hyperglycemia.