The nurse observes a patient who has periods of fast, deep respirations alternating with periods of apnea. What term should the nurse use to describe this pattern?
a. Tachypnea
b. Kussmaul's
c. Cheyne-Stokes
d. Hyperventilation
ANS: C
Fast deep respirations alternated with periods of apnea are Cheyne-Stokes respirations. D. Hyperventilation is deep breathing. B. A. Kussmaul's are slow and deep, and tachypnea is a rate that is too fast.
You might also like to view...
The community health nurse is preparing a program geared toward primary prevention of hypertension. When preparing the program, what activities will aid the nurse in meeting the goals of primary prevention?
1. Providing dietary counseling for clients with hypertension. 2. Offering free blood pressure screening to participants. 3. Having a contest for participants to win an automatic blood pressure cuff for home use. 4. Providing literature to discuss modifiable risk factors.
A patient is taking diethylcarbamazine [Hetrazan] to treat a filarial infestation. The patient reports intense itching and a rash after several days of therapy. What will the nurse tell this patient?
a. These symptoms are caused by death of the parasite. b. This is a minor, direct adverse effect of the drug. c. This is a sign the infestation is worsening. d. This warrants discontinuation of the drug.
A patient is admitted with a fractured mandible and several fractured ribs. Which of the following would be indicated for this patient?
1. treat the fractures and transfer to an orthopedic unit 2. maintain on spinal cord injury precautions until ruled out 3. provide pain medication and tape the ribs immediately 4. obtain a chest x-ray to determine lung function
The nurse in a prenatal clinic finds that four patients have called with complaints related to their pregnancies. Which call should the nurse return first?
1. Primip at 7 weeks' gestation reporting nasal stuffiness 2. Multip at 38 weeks experiencing rectal itching and hemorrhoids 3. Primip at 15 weeks with nausea and vomiting and a 15-pound weight loss 4. Multip at 32 weeks treating constipation with prune juice