You are caring for a young adult patient with an intracranial hemorrhage secondary to a closed head injury. During your assessment, you notice that the patient's respirations follow a cycle progressively increasing in depth,
then progressively decreasing in depth, followed by a period of apnea. Which of the following appropriately describes this respiratory pattern?
1) Biot's breathing
2) Kussmaul's respirations
3) Sleep apnea
4) Cheyne-Stokes respirations
ANS: 4
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A client tells the nurse that flakes of skin come loose with every shampoo. Based on this data, which secondary skin lesion does the nurse suspect the client is experiencing?
A) Nodule B) Macule C) Scale D) Crust
For which reason will betamethasone IM be administered to the mother in premature labor?
a. To stop uterine contractions b. To prevent precipitous labor c. To stimulate lung maturity in the fetus d. To stimulate prolactin to enhance breastfeeding
The nurse works with older adult clients in a wellness-screening clinic on a weekly basis. Which of the following is the best statement made by the nurse to clients in the older adult age group?
a. "Your shoulder pain is normal for your age." b. "Regular exercise will maintain and strengthen your functional ability." c. "Don't worry about taking that combination of medications because your doctor has prescribed them." d. "Why don't you begin walking 3 to 4 km per day, and we'll evaluate how you feel next week?"
Your patient is taking psyllium hydrophilic mucilloid (Metamucil) daily. What information should be included in the discharge plan?
A) Drink at least 8 ounces of fluid with the medication. B) Mix the medication with your food at the evening meal. C) Combine all of your medications with the mucilloid. D) Discontinue the mucilloid if you do not have a bowel movement daily.