NCLEX Exam Practice Question of the Week- 7/5/17
The nurse is caring for a client with diabetic ketoacidosis and documents that the client is experiencing Kussmaul’s respirations. Which patterns did the nurse observe? Select all that apply.
1) Respirations that are shallow
2) Respirations that are increased in rate
3) Respirations that are abnormally slow
4) Respirations that are abnormally deep
5) Respirations that cease for several seconds
Answer: 2, 4
Rationale: Kussmaul’s respirations are abnormally deep and increased in rate.These occur as a result of the compensatory action by the lungs. In bradypnea, respirations are regular but abnormally slow. Apnea is described as respirations that cease for several seconds.
Test-Taking Strategy: Focus on the subject, the characteristics of Kussmaul’s respirations. Use knowledge of the description of Kussmaul’s respirations. Recalling that this type of respiration occurs in diabetic ketoacidosis will assist you in answering correctly.
Practice Question Sourced From: Saunders Comprehensive Review for the NCLEX-RN® Examination, 7th Edition (Unit III Nursing Sciences, Chapter 9 Acid-Base Balance, pg. 105 question 57)
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