A client's family asks the nurse about the changes noted in the client's respirations. Various breathing patterns may be seen in the client who is dying. What is the best description to provide to the family by the nurse of Kussmaul's breathing?
A) Respiratory rate greater than 20 breaths/minute
B) Shallow breathing
C) Absence of breathing
D) Often occurs if a person experiences alkalosis
A
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Kussmaul's breathing often occurs if a person experiences acidosis. This type of breathing is fast, greater than 20 breaths/minute, labored, and deep. Cheyne-Stokes respiration occurs as heart failure is evident and is characterized by periods of absence of breathing and rapid breathing.
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A patient has been newly diagnosed with heart failure (HF) and has come to the meet with the nurse at the clinic for health education. What lifestyle recommendation should the nurse provide to this patient when discussing dietary modifications?
A) "It's in your best interests to avoid excessive fluids and sodium in your diet." B) "Try to replace as many of the complex carbohydrates in your diet with simple sugars." C) "I'll teach you some good sources of potassium, which you should try to eat regularly." D) "Many people with HF find that small, frequent meals allow them to manage their diet effectively."
What is the first step in developing a plan to reduce risk for injury for a client diag-nosed with chronic obstructive pulmonary disease (COPD)?
a. Evaluating the client's understanding of the pathophysiology of the disease. b. Assessing the client's ability to cope with the physical changes the disease will cause. c. Determining the degree of acceptance the client has for the suggested lifestyle changes. d. Monitoring the client for signs of depression and hopelessness regarding the future.
Critical care nurses can best enhance the principle of autonomy by
a. presenting only the information to prevent relapse in a patient. b. assisting with only tasks that cannot be done by the patient. c. providing the patient with all of the information and facts. d. guiding the patient toward the best choices for care.
Most adolescent risky behaviors are purposeful and goal oriented
Indicate whether the statement is true or false