Practice Question
A nurse is caring for a client whose respiratory rate is 40 breaths per minute. The client's respirations are abnormally deep. How would the nume document this finding in the electronic health record?
Answer Choices:
Correct Answer:
Kussmaul's respirations
Rationale:
🔷 Kussmaul’s respirations are abnormally deep and rapid breathing patterns, usually seen in metabolic acidosis (especially diabetic ketoacidosis).
🔷 The respiratory rate often exceeds 30–40 breaths per minute as the body attempts to blow off excess CO₂.
🔷 This breathing pattern is not shallow or irregular, but deep, labored, and consistent.
🔷 The underlying mechanism is respiratory compensation for metabolic acidosis.
🔷 Documentation in the electronic health record should specifically note this abnormal pattern.
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This question is from W8 NR224.NR229 Comprehensive Final Exam which contains 70 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: 🏫 RN Exit Exams
- Answer Choices: 4
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