A dying resident shows irregular breathing alternating with periods of apnea (no breathing) lasting up to 30 seconds, followed by rapid breaths. This pattern is called:

Explanation

Cheyne-Stokes is a cyclic pattern of crescendo-decrescendo respirations alternating with apnea, common in the active dying phase. It is NOT an emergency in the dying patient and CPR is not appropriate if the resident has a DNR. Kussmaul (b) is deep rapid breathing in metabolic acidosis. Eupnea (a) is normal breathing. Apneustic (c) involves prolonged inspiration and is a brainstem sign — also not CPR-indicated in dying. The CNA reports changes to the nurse, positions for comfort, provides mouth care, and supports the family per 42 CFR §483.25(k) (end-of-life care).