A dying client began having periods of absence of breathing alternating with noisy, rattling respirations. The nurse documents that the client is experiencing:
A)
apnea.
B)
dyspnea.
C)
Cheyne-Stokes respirations.
D)
orthopnea.
C
Explanation:
A)
Cheyne-Stokes are characterized by alternating noisy respirations with absence of respirations. Apnea is an absence of respirations. Dyspnea involves labored breathing, and orthopnea is difficulty breathing when lying flat.
Comprehension
Assessment
Physiological Integrity: Physiological Adaptation
B)
Cheyne-Stokes are characterized by alternating noisy respirations with absence of respirations. Apnea is an absence of respirations. Dyspnea involves labored breathing, and orthopnea is difficulty breathing when lying flat.
Comprehension
Assessment
Physiological Integrity: Physiological Adaptation
C)
Cheyne-Stokes are characterized by alternating noisy respirations with absence of respirations. Apnea is an absence of respirations. Dyspnea involves labored breathing, and orthopnea is difficulty breathing when lying flat.
Comprehension
Assessment
Physiological Integrity: Physiological Adaptation
D)
Cheyne-Stokes are characterized by alternating noisy respirations with absence of respirations. Apnea is an absence of respirations. Dyspnea involves labored breathing, and orthopnea is difficulty breathing when lying flat.
Comprehension
Assessment
Physiological Integrity: Physiological Adaptation
You might also like to view...
The nurse is examining the glans and knows which finding is normal for this area?
a. The meatus may have a slight discharge when the glans is compressed. b. Hair is without pest inhabitants. c. The skin is wrinkled and without lesions. d. Smegma may be present under the foreskin of an uncircumcised male.
The client has severe arthritis and is unable to go upstairs quickly to the bathroom located on the second floor. The client has occasional incontinence. The nurse would classify this type of incontinence as being:
a. urge incontinence. c. reflex incontinence. b. functional incontinence. d. urethra hypermobility.
A client tells the nurse that her primary care physician is an osteopath. The nurse realizes that this physician will utilize which of the following approaches when providing care to the client? (Select all that apply.)
1. Hypnosis 2. Manipulation 3. Tai chi 4. Surgery 5. Yoga 6. Medications
Two medically indigent clients have come to the clinic to get their monthly supply of free insulin. There is only enough for one client. What does the nurse do first?
a. Identify all options b. Make a decision c. Gather additional information d. Act and assess decisions made