A chronic renal failure client is exhibiting signs of metabolic acidosis. Upon assessment of the client's respiratory status, the nurse would expect:
1. Kussmaul respirations.
2. Periods of apnea.
3. Dyspnea.
4. Cheyne-Stokes respirations.
Kussmaul respirations.
Rationale: Kussmaul respirations are the body's physiologic response to acidosis. The client will exhibit Kussmaul respirations in attempt to blow off excess CO2. Periods of apnea is incorrect because the client will not be able to get rid of excess hydrogen ions if he or she is having periods of apnea. The patient should exhibit rapid deep respirations, not difficulty with breathing. Cheyne-Stokes respirations are exhibited with metabolic alkalosis.
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