Respiratory effort usually exhibited by a patient with cerebral brain damage is called:
a. Cheyne-Stokes respiration.
b. paroxysmal nocturnal dyspnea.
c. Kussmaul breathing.
d. Biot respiration.
A
Cheyne-Stokes respirations occur in children and older adults during sleep, but otherwise occur in seriously ill patients, particularly those with brain damage at the cerebral level.
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a. Send the two disputants away to reach their own resolution. b. Involve another staff nurse in the discussion so as to clarify issues. c. Ask each party to examine her own motives and issues in the conflict. d. Continue to listen as the parties repeat their thoughts and feelings about the conflict.
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The patient is immobilized after undergoing hip replacement surgery. Which finding will alert the nurse to monitor for hemorrhage in this patient?
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