While assessing the patient's respiratory rate, the nurse assesses 4 normal breaths followed by an episode of apnea lasting 20 seconds. The nurse will describe this breathing pattern in her documentation as:
A) Eupnea
B) Apnea
C) Biot's respiration
D) Cheyne-Stokes
Ans: C
Feedback: The nurse will document that the patient is demonstrating a Biot's respiration pattern. Biot's respiration is characterized by periods of normal breathing (3 to 4 breaths) followed by varying periods of apnea (usually 10 seconds to 1 minute). Cheyne-Stokes is a similar respiratory pattern but involves a regular cycle in which the rate and depth of breathing increase, then decrease until apnea occurs. Biot's respiration is not characterized by the increase and decrease in the rate and depth, as characterized by Cheyne-Stokes. Eupnea is a normal breathing pattern of 12 to 18 breaths/minute. Bradypnea is a slower than normal rate (<10 breaths/minute), with normal depth and regular rhythm, and no apnea.
You might also like to view...
A nurse is on the treadmill exercising, when the woman next to her says, "You're a nurse. Explain to me how the scale says I've lost weight, but my waist and tummy just keep getting larger." Which of the following would be the most appropriate response by
a. "I'm concerned. You need to see your health care provider to follow up on this." b. "Muscle weighs more than fat so you're creating muscle while losing fat, but it takes a while for the body to redistribute the weight." c. "Tell me what you've been eating in the last week or so." d. "You're running so you're strengthening your legs and thighs, but to lose around your tummy, you have to exercise your abdominal muscles."
The Omaha System has a multitude of functions. The system can store data describing problems, symptoms, modifiers, interventions, and outcomes. One of the benefits of the stored data is which of the following?
1. Decreasing services to elderly 2. Allowing patient input of data 3. Researching quality and effectiveness 4. Decreasing time spent with data collection
A client is being treated with corticosteroids for contact dermatitis. The client asks how to avoid contact dermatitis. Which statements by the nurse are appropriate to indicate how contact dermatitis is caused? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Latex 2. Jewelry 3. Perfume 4. Peanuts 5. Lactose
The nurse was assessing a small girl, age 9, who had spent the last 3 years with her mother, often in homeless family shelters. What can the nurse expect of the small girl in relation to intellectual development?
A. Her results are somewhat below grade level. B. Her results are above grade level. C. Her results are about at the appropriate grade level. D. Her results are quite low for her age and grade level.