Which of the following conditions is most commonly associated with Kussmaul respirations?
Diabetic ketoacidosis
Asthma
Pneumonia
Chronic obstructive pulmonary disease (COPD)
The Correct Answer is A
Rationale:
A. Diabetic ketoacidosis (DKA) is most commonly associated with Kussmaul respirations, which are deep, rapid breaths the body uses to eliminate CO₂ and compensate for metabolic acidosis.
B. Asthma causes wheezing, dyspnea, and prolonged expiration due to airway narrowing but not Kussmaul respirations.
C. Pneumonia leads to cough, fever, and shortness of breath, but respirations are not typically Kussmaul in nature.
D. COPD causes chronic hypoventilation, barrel chest, and pursed-lip breathing but not Kussmaul respirations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Rationale:
A. Relying on public transit can limit the client’s ability to obtain groceries and attend medical or nutrition appointments, creating a barrier to adequate nutrition.
B. Having an adult child visit is a source of support and does not represent a barrier; it may help the client meet nutritional goals.
C. Receiving supplemental nutrition assistance increases access to food resources and is not a barrier.
D. Dietary restrictions for chronic conditions are part of the treatment plan and guide appropriate intake; they do not inherently prevent the client from meeting nutritional goals.
E. Mobility impairment from arthritis can make cooking, shopping, and feeding difficult, creating a significant barrier to proper nutrition.
Correct Answer is C
Explanation
Rationale:
A. Applying a cold compress to the chest does not relieve dyspnea or help mobilize secretions.
B. Lying flat worsens breathing by reducing lung expansion; COPD patients should be positioned upright to ease ventilation.
C. Administering bronchodilators as prescribed is the most appropriate intervention because bronchodilators relax airway smooth muscle, reduce bronchospasm, and improve airflow, helping the patient clear secretions more effectively.
D. Fluid intake should be increased to 2,000–2,500 mL/day (unless contraindicated) to thin secretions; reducing to 500 mL daily would worsen secretion clearance.
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