A client has a medical condition that often results in the development of metabolic acidosis. The nurse should observe this client for the development of which breathing pattern as a result of this condition?
1. Cheyne-Stokes
2. Biot's
3. Cluster
4. Kussmaul's
Correct Answer: 4
Rationale 1: Cheyne-Stokes respirations are commonly a result of chronic diseases, increased intracranial pressure, or drug overdose.
Rationale 2: Biot's respirations are often the result of central nervous system disorders.
Rationale 3: Cluster respirations are often the result of central nervous system disorders.
Rationale 4: Kussmaul's respirations are a type of hyperventilation that accompanies metabolic acidosis. They represent the body's attempt to compensate for the acidosis by "blowing off" carbon dioxide.
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