Difficulty: Medium
Average Score: 75%
Simulated
Passage / Scenario
A nurse is caring for a school-age child with diabetes mellitus and diabetic ketoacidosis.When performing the respiratory assessment, which of the following findings should the nurse expect?
Correct answer
D
Rationale
The correct answer is D: Deep respirations of 32/min. Deep respirations can indicate respiratory distress or hyperventilation, both of which are important findings in a respiratory assessment. Rapid deep respirations could suggest the body is compensating for an underlying issue. Periods of apnea (A) are not normal and can be concerning for respiratory compromise. Paradoxic respirations (B) where the chest moves inward during inspiration are associated with respiratory muscle fatigue or paralysis. Shallow respirations (C) may indicate respiratory depression or inadequate oxygenation.