ATI Fundamental Exams | Nurselytic

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Question 1 of 5

A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alterations?

Correct Answer: A

Rationale: The correct answer is A: Cheyne-Stokes respirations. This breathing pattern is characterized by alternating periods of deep, rapid breathing (hyperventilation) followed by periods of apnea. This occurs due to changes in blood gases and can be seen in clients with brain injury or heart failure. Kussmaul respirations (
B) are deep and rapid breathing seen in metabolic acidosis. Apneustic respirations (
C) involve prolonged inhalation and short, ineffective exhalation, typically seen in brainstem injury. Stridor (
D) is a high-pitched sound during inspiration and is indicative of upper airway obstruction.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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