A nurse is caring for a client who is dying and having Cheyne-Stokes respirations. Which of the following respiratory findings should the nurse expect?
Irregular respirations with frequent periods of apnea
Irregular respirations greater than 20/min
Regular, rapid, shallow respirations
Regular respirations fewer than 12/min
The Correct Answer is A
Cheyne-Stokes respirations are an abnormal pattern of breathing characterized by progressively deeper, and sometimes faster, breathing followed by a gradual decrease that results in a temporary stop in breathing called an apnea. The pattern repeats, with each cycle usually taking 30 seconds to 2 minutes. This type of breathing may occur in people who are dying due to heart failure, stroke, brain injury or other causes. The nurse should expect to observe irregular respirations with frequent periods of apnea in the client who is dying and having Cheyne-Stokes respirations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale: Parenteral nutrition (PN) is a method of providing essential nutrients to the body through a central vein. PN is indicated for clients who cannot take oral or enteral nutrition due to intestinal failure or other conditions. PN requires a central venous line because the solution is hypertonic and can cause thrombophlebitis or damage to peripheral veins. A central venous line also allows for better monitoring of fluid balance and electrolyte levels.
Correct Answer is C
Explanation
Sleep deprivation is a condition that occurs when a person does not get enough quality sleep or has a disrupted sleep pattern. Sleep deprivation can affect a person's physical, mental, and emotional health. One of the effects of sleep deprivation is decreased judgment, which means that a person may have difficulty making decisions, solving problems, and concentrating. The nurse should recognize this finding as an indication that the client has sleep deprivation and intervene accordingly.
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