Emotional SupportQuestion 152 of 200
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:
a.Kussmaul respirations
b.Eupnea
c.Cheyne-Stokes respirations, common near end of life
d.Apneustic breathing requiring CPR
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 (a) is deep rapid breathing in metabolic acidosis. Eupnea (b) is normal breathing. Apneustic (d) 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).
Law Reference: 42 CFR §483.25(k)Practice all 200 questions free — no signup required.
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