The nurse observed that a client with diabetic ketoacidosis is experiencing abnormally deep, regular, and rapid respirations. How would the nurse document this observation in the medical record?

Bradypnea

Kussmaul's respirations

Cheyne-Stokes respirations

Biot's respirations

Answer and Explanation

The Correct Answer is B

Choice A reason: This is incorrect because bradypnea is a term for slow breathing, usually less than 12 breaths per minute. The client is breathing rapidly, not slowly.

Choice B reason: This is correct because Kussmaul's respirations are a type of breathing pattern that is deep, regular, and rapid, usually more than 20 breaths per minute. Kussmaul's respirations are a sign of metabolic acidosis, which occurs in diabetic ketoacidosis due to the accumulation of ketones in the blood. The client is trying to exhale the excess carbon dioxide and lower the acidity of the blood.

Choice C reason: This is incorrect because Cheyne-Stokes respirations are a type of breathing pattern that is irregular, with periods of apnea (no breathing) alternating with periods of rapid breathing. Cheyne-Stokes respirations are a sign of cerebral dysfunction, such as stroke, brain injury, or coma.

Choice D reason: This is incorrect because Biot's respirations are a type of breathing pattern that is irregular, with periods of apnea (no breathing) interspersed with periods of normal breathing. Biot's respirations are a sign of brainstem damage, such as meningitis, encephalitis, or head trauma.

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Correct Answer is D

Explanation

Choice A reason: This is incorrect because metabolic alkalosis is characterized by a high pH and a high HCO3-. The patient's pH and HCO3- are both low, indicating acidosis, not alkalosis.

Choice B reason: This is incorrect because respiratory alkalosis is characterized by a high pH and a low PaCO2. The patient's pH is low and PaCO2 is normal, indicating a metabolic problem, not a respiratory one.

Choice C reason: This is incorrect because respiratory acidosis is characterized by a low pH and a high PaCO2. The patient's pH is low, but PaCO2 is normal, indicating a metabolic problem, not a respiratory one.

Choice D reason: This is correct because metabolic acidosis is characterized by a low pH and a low HCO3-. The patient's pH and HCO3- are both low, indicating a metabolic disorder. The condition is uncompensated because the PaCO2 is normal, meaning the respiratory system is not compensating for the metabolic acidosis.

A. Metabolic alkalosis B. Metabolic acidosis C. Respiratory alkalosis D. Respiratory acidosis

Correct Answer is A

Explanation

Choice A reason: This is correct because metabolic alkalosis is characterized by a high pH and a high HCO3-. The client's pH and HCO3- are both high, indicating a metabolic disorder. The condition is uncompensated because the PaCO2 is normal, meaning the respiratory system is not compensating for the metabolic alkalosis.

Choice B reason: This is incorrect because metabolic acidosis is characterized by a low pH and a low HCO3-. The client's pH and HCO3- are both high, indicating alkalosis, not acidosis.

Choice C reason: This is incorrect because respiratory alkalosis is characterized by a high pH and a low PaCO2. The client's pH is high, but PaCO2 is normal, indicating a metabolic problem, not a respiratory one.

Choice D reason: This is incorrect because respiratory acidosis is characterized by a low pH and a high PaCO2. The client's pH is high, and PaCO2 is normal, indicating a metabolic problem, not a respiratory one.

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The nurse observed that a client with diabetic ketoacidosis is experiencing abnormally deep, regular, and rapid respirations. How would the nurse document this observation in the medical record?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Lena Mason, who has diabetes, is admitted in a stuporous condition. Her blood gases show a pH of 7.33, PaCO2 of 40 mm Hg, and HCO3- of 20 mEq/L. What type of acid-base imbalance does this patient have?

Correct Answer is D

Explanation

A nurse is reviewing the arterial blood gas (ABG) results of a client. The client's ABGs are: pH 7.6 PaCO2 40 mm Hg HCO3 32 mEq/L Which of the following acid-base conditions should the nurse identify the client is experiencing?

Correct Answer is A

Explanation

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