The nurse can assess Cheyne-Stokes respiration by its characteristics of respirations that are:
harsh and rattling.
long periods of fast deep breaths.
shallow followed by periods of apnea.
Wheezing and labored.
The Correct Answer is C
A. Harsh and rattling: Harsh and rattling respirations are indicative of other respiratory conditions, such as respiratory tract obstruction or excessive secretions in the airways, rather than Cheyne-Stokes respiration.
B. Long periods of fast deep breaths: This describes hyperventilation, where there are rapid and deep breaths without periods of apnea, which is not characteristic of Cheyne-Stokes respiration.
C. Shallow followed by periods of apnea: Cheyne-Stokes respiration is characterized by a pattern of gradually increasing and then decreasing depth of respirations, followed by periods of apnea (no breathing). This pattern repeats cyclically.
D. Wheezing and labored: Wheezing and labored respirations are associated with conditions such as asthma or chronic obstructive pulmonary disease (COPD), rather than Cheyne-Stokes respiration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Harsh and rattling: Harsh and rattling respirations are indicative of other respiratory conditions, such as respiratory tract obstruction or excessive secretions in the airways, rather than Cheyne-Stokes respiration.
B. Long periods of fast deep breaths: This describes hyperventilation, where there are rapid and deep breaths without periods of apnea, which is not characteristic of Cheyne-Stokes respiration.
C. Shallow followed by periods of apnea: Cheyne-Stokes respiration is characterized by a pattern of gradually increasing and then decreasing depth of respirations, followed by periods of apnea (no breathing). This pattern repeats cyclically.
D. Wheezing and labored: Wheezing and labored respirations are associated with conditions such as asthma or chronic obstructive pulmonary disease (COPD), rather than Cheyne-Stokes respiration.
Correct Answer is E
Explanation
A. Anger: Anger typically involves feelings of frustration, resentment, or hostility towards others or the situation. The behavior described in the scenario does not express anger towards anyone or anything but rather attempts to negotiate or make deals in hopes of changing the outcome.
B. Acceptance: Acceptance involves coming to terms with the reality of the situation and finding peace with it. The behavior described does not indicate acceptance but rather a desire to alter the situation through bargaining.
C. Depression: Depression involves feelings of sadness, hopelessness, and despair. While the behavior described may indicate emotional distress, it is more reflective of bargaining rather than depression.
D. Denial: Denial is characterized by refusing to accept the reality of the situation. The behavior described involves acknowledging the situation but attempting to change it through bargaining, indicating a stage beyond denial.
E. Bargaining: Bargaining is a stage where individuals attempt to negotiate or make deals to change the outcome of a situation. The behavior described in the scenario, pleading in exchange for a desired outcome, aligns with the bargaining stage of Kübler-Ross's stages of dying.
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