NCLEX-RN
Health Promotion and Maintenance NCLEX RN Questions Questions
Extract:
Question 1 of 5
Mr. N is a client who entered the hospital with a diagnosis of diabetic ketoacidosis. The nurse enters his room to check his vital signs and finds him breathing at a rate of 32 times per minute; his respirations are deep and regular. Which type of respiratory pattern is Mr. N most likely exhibiting?
Correct Answer: A
Rationale: Mr. N is most likely exhibiting Kussmaul respirations. Kussmaul respirations are a form of hyperventilation associated with conditions like metabolic acidosis. They are characterized by rapid, regular, and deep breathing. This type of respiratory pattern helps the body compensate for metabolic acidosis by attempting to blow off excess carbon dioxide. This pattern is different from Cheyne-Stokes respirations (choice
B), which are characterized by alternating periods of deep, rapid breathing followed by apnea. Biot's respirations (choice
C) are characterized by groups of quick, shallow inspirations followed by irregular periods of apnea, and Cluster breathing (choice
D) involves clusters of breaths followed by periods of apnea, often seen in patients with brain injury or neurological conditions.
Question 2 of 5
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Question 3 of 5
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Question 5 of 5
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