A patient with traumatic brain injury is found to have bilateral lesions deep in the cerebral hemispheres. What respiratory pattern should the nurse most expect to find in this patient?
A) Alternating hyperpneic and apneic phases (Cheyne-Stokes breathing)
B) Sustained, regular, rapid, and deep hyperventilation (neurogenic hyperventilation)
C) Long pause at full inspiration or full expiration (apneustic breathing)
D) Gasping breaths with irregular pauses (cluster breathing)
A
You might also like to view...
A patient has significantly decreased creatinine clearance and an elevated serum creatinine. What does this value indicate to the nurse?
A) Improved renal function B) Kidney damage from disease C) Muscle wasting D) Rhabdomyolysis
To insert a rectal suppository in an adult client, the nurse should position the client in the Sims' left position and insert the suppository:
a. into the anal canal b. past the internal sphincter and against the rectal wall c. approximately 8 inches d. until the client experiences the urge to defecate
In which instances could bias in measuring embarrassment be decreased? (Select all that apply.)
a. Use more than only one way of collecting the data (such as a verbal response + an external rater). b. Use more than only one question to elicit the response (such as Yes–No + how much). c. Use more than only one modality of measurement (such as Yes–No + a physiologic instrument). d. Hypnotize subjects, so that they give absolutely honest answers. e. Replicate the study.
What is required to maintain fluid balance between the intracellular and extracellular compartments?
a. There is a constant exchange of water be-tween the compartments. b. The hypothalamus sends each compartment messages regarding the need for retaining or releasing fluid to the cells. c. The kidneys retain and excrete fluid as needed for fluid balance. d. The lymph nodes throughout the body regulate fluid balance.