The nurse is assessing the client's respiratory pattern and notes periods of deep breathing alternating with periods of apnea. When documenting this assessment finding, which term is the most appropriate for the nurse to use?
1. Tachypnea.
2. Obstructive breathing.
3. Hypoventilation.
4. Cheyne-Stokes.
Correct Answer: 4
The breathing described is a Cheyne-Stokes pattern. The client who has tachypnea exhibits rapid and shallow respirations. Clients with obstructive breathing have prolonged expirations. Hypoventilation is irregular and shallow breathing.
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What does meconium-stained amniotic fluid indicate when the infant is in a vertex presentation?
a. Fetal distress b. Fetal maturity c. Intact gastrointestinal tract d. Dehydration in the mother
The nurse is preparing discharge instructions for a patient who has tactile alterations in his legs. Which instructions should be included? (Select all that apply.)
a. Verify bath water temperature is approximately 39.5 ° C. b. Do not use hot or cold therapy on any extremity. c. Use sturdy shoes when walking outside or on hard surfaces. d. Report any changes in skin color on your legs to your health care provider. e. Set your water heater so that scalding is not possible.
The document that outlines a multidisciplinary plan for care interventions over a specified time frame is a _______ ________
Fill in the blank(s) with correct word
Lilly, an RN, works full time in her client's home providing total care for him. She bathes and dresses him, provides tracheostomy care and wound care, and feeds him. She is paid directly by her client
This type of nursing care is commonly known as: a. primary nursing. b. functional nursing. c. case management. d. private duty nursing.