Difficulty: Medium
Average Score: 80%
Simulated
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
D
Rationale
The correct answer is D: Cheyne-Stokes respirations. This breathing pattern is characterized by alternating periods of deep, rapid breathing (hyperventilation) followed by periods of apnea (no breathing). It is commonly seen in clients with neurological conditions or at end of life. Kussmaul respirations (choice A) are deep and rapid breathing seen in metabolic acidosis, not alternating with apnea. Apneustic respirations (choice B) involve prolonged inhalation and shortened exhalation, not the pattern described. Stridor (choice C) is a high-pitched, noisy breathing sound indicating airway obstruction. Therefore, the correct choice is D as it fits the described breathing pattern accurately.