The nurse is caring for a patient who was recently admitted with a traumatic head injury. The nurse anticipates that the patient may display which type of respirations?
a. Apneustic respirations
b. Cheyne-Stokes
c. Kussmaul
d. Biot
D
Biot respirations are characterized by irregular periods of apnea followed by four to five breaths of identical depth. This pattern is associated with increased intracranial pressure, which is com-mon with a traumatic head injury. Apneustic respirations are indicative of damage to the respira-tory centers in the brain. Cheyne-Stokes respirations are often seen in patients in a coma resulting from a disorder affecting the central nervous system. Kussmaul respiration is an abnormal breathing pattern often seen in patients with diabetic acidosis and coma.
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A patient's medication administration record include daily timolol maleate eye drops. The nurse should identify what goal of therapy when planning this patient's care?
A) Decrease intraocular pressure. B) Constrict pupils. C) Promote lacrimation. D) Improve visual acuity.
A 15-year-old boy is brought to the emergency room by his parents following an injury to his arm that occurred during football practice. The X-ray shows a diagonal line that coils around the bone
The pediatric nurse knows that this indicates a type of fracture known as: A) spiral. B) oblique. C) transverse. D) greenstick.
King tells us that if the patient and nurse agree on goals, the goals will be attained
A. 99% of the time. B. 90% of the time. C. 76% of the time. D. 50% of the time.
What do the BUN and creatinine tell you about her renal function and volume status?
What will be an ideal response?