The nurse identifies a nursing diagnosis of ineffective breathing pattern related to loss of central nervous system (CNS) integrative function for a patient who has posttraumatic brain swelling, based on the finding of

Question

Quizplus · Accepted Answer

Apneustic breathing is caused by loss of CNS integration in the pons and is not effective in maximizing gas exchange. Crackles on inspiration are abnormal, but they are not an indication of an abnormal breathing pattern. The Glasgow Coma Scale and cerebral perfusion pressure P are not useful in determining or documenting a patient's respiratory patterns.

The Nurse Identifies a Nursing Diagnosis of Ineffective Breathing Pattern