img-download-app
img-download-app

A student nurse is assessing the vital signs of a patient with diabetic ketoacidosis. The student nurse notes that the rate and depth of the patient's respiration is increased. The student nurse recognizes that this type of breathing pattern is:

Explanation

• Kussmaul’s breathing is a compensation to eliminate CO2 in the body due to metabolic acidosis. It is described as hyperventilation with an increased rate and depth

• Cheyne-Stokes respiration commonly occurs in patients with CHF, increased ICP and drug overdose. Breathing becomes progressively deeper and faster, followed by periods of apnea. This cycle repeats

• Cluster breathing, or Biot's repiration, is characterized by groups of quick, shallow breaths followed by periods of apnea. This is usually seen in patients with medulla damage and indicates a poor prognosis

Visit our website for other NCLEX topics now!
Related questions

A nurse is caring for a 22-year-old female hospitalized with acute bacterial meningitis. The nurse is teaching a student nurse about acute bacterial meningitis. Which of the following statements indicate that teaching has been ineffective?

A patient with a recent cerebrovascular accident (CVA) is on a dysphagia diet. What should the nurse do to ensure patient safety while eating?

A nurse has tested negative for HIV after a recent exposure to contaminated blood. Which of the following is correct?

A nurse is assessing a skin lesion on the back of a 75-year-old female. The lesion is black and blue, has irregular borders, and is asymmetrical. Based on this clinical description, the most likely diagnosis is:

While assessing a patient on the oncology unit, the nurse discovers that the patient has been intermittently vomiting all night. The nurse anticipates that the patient may have which acid-base imbalance?

The nurse is caring for a patient with Sjögren's syndrome. Which of the following interventions is important for this patient?

Which of the following assessment findings are specific to the client with moderate dehydration?

A patient is diagnosed with iron-deficiency anemia. The physician prescribes ferrous sulfate. Which of the following is a contraindication for ferrous sulfate therapy?

A hospital patient is complaining of increased shortness of breath. The nurse observes a respiratory rate of 24 on 3 L nasal canula. Which of the following actions should be done initially?

The nurse is reviewing the complete blood count (CBC) of a healthy patient. Which of the following white blood cells should the nurse expect to be most numerous?

A 49-year-old male patient is in a coma and is supported by mechanical ventilation. Regular oral care is provided by the nurse to this unconscious patient because:

A patient with necrotizing fasciitis will be undergoing a skin graft surgery. Which of the following patient statements indicates that informed consent has not been obtained?

A patient who is scheduled for a bone marrow transplant is concerned about the cost of the procedure. How should the nurse respond?
The nurse is caring for an anemic patient with a hemoglobin level of 7.2 g/dl and vertigo when standing. The nurse would expect which of the following orthostatic abnormalities?

The nurse is creating a care plan for a patient with Cushing's syndrome. Which of the following nursing diagnoses is most appropriate?

A patient is being admitted to the hospital with complaints of heat intolerance, diarrhea, weight loss and palpitations. The nurse knows that these symptoms are due to an elevated secretion of:

The nurse is caring for a patient with osteoporosis. The patient is most likely to be a(n):

A 30-year-old male patient was rescued from a burning house. However, he has sustained major burns on his anterior thorax and bilateral upper extremities. What is the initial treatment goal for this patient?

A patient with AIDS is suffering from anorexia and cachexia. In order to increase body weight, the nurse should instruct the patient to do the following:

A nurse at a dermatology clinic is instructing the patient on risk factors for skin disorders. Which of the following should be included?

A 34-year-old woman undergoing chemotherapy treatment for uterine cancer asks the nurse how chemotherapeutic medications help treat her cancer. Which of the following statement by the nurse is accurate?
A healthy patient is concerned about getting histoplasmosis from a friend. The nurse explains to the patient that the major risk factor is:

A patient is prescribed a 24-hour urine test after sustaining significant damage to the kidneys. The collection time for this test should:

The nurse is assessing a child with white patches on his tongue that may be candidiasis (thrush). The nurse confirms this suspicion because candidiasis:

A nurse is assessing the skin of a patient with acne vulgaris. Which of the following primary lesions should the nurse expect to find?

The nurse is caring for a patient on a mechanical ventilator due to respiratory failure. The ventilator is set at a FiO2 of 80% with orders to titrate down as tolerated. The nurse understands that the FiO2 goal is to be less than:

A patient is being discharged after a bilateral nephrectomy. The patient will perform peritoneal dialysis at home. Which of the following best promotes continuity of care?

The nurse is assessing a female patient of child-bearing age for symptoms of iron-deficiency anemia, including:

A patient comes in for a follow-up evaluation of partial-thickness burns of the thighs. The patient claims that he washes his wounds and changes his dressings every day. When the nurse assesses the patient's wounds, she notes the patient is not wearing dressings and that his wounds are covered in dirt. How should the nurse procede?

The nurse is caring for a post-operative patient at risk for pneumonia. What interventions can be implemented to reduce the risk of pneumonia?

The nurse is assessing a patient who underwent a cholecystectomy 2 days ago. The nurse notes that the patient has no bowel sounds. What should the nurse do next?

A hospitalized patient is in the oliguric phase of acute renal failure. The nurse should implement which of the following?

A patient is scheduled to undergo an intravenous pyelography. After conducting patient teaching for the procedure, the nurse knows that the patient understands the procedure when he states which of the following?

A patient is admitted to the hospital with burns covering the anterior torso, anterior arms (bilateral), and anterior legs (bilateral). The nurse determines that the total body surface area that is affected is:

A patient is intubated and placed on mechanical ventilation due to respiratory failure. Which of the following items is most important and should be kept next to the patient's bed at all times?

Which of the following are a result of antidiuretic hormone (ADH) secretion?

The nurse is assessing a patient with Hodgkin's lymphoma. Which one of the following is a feature of Hodgkin's Lymphoma?

A nurse is performing an abdominal assessment on a healthy 45-year-old. The nurse should perform the assessment in which order?

The nurse is assessing a patient diagnosed with acute pancreatitis. Which of the following assessment findings is consistent with this diagnosis?