Question

The nurse is caring for a client with diabetic ketoacidosis and documents that the client is experiencing Kussmaul's respirations.

a.Continue to monitor the client's vital signs
b.Administer a bronchodilator
c.Notify the healthcare provider
d.Document the findings and continue care

Answer 1

Kussmaul's respirations are deep, rapid breaths seen in diabetic ketoacidosis. The appropriate action is to notify the healthcare provider and document the findings.

Step-by-step explanation:

Kussmaul's respirations are deep, rapid breaths typically seen in individuals with diabetic ketoacidosis. This type of breathing is the body's attempt to compensate for the acidosis and remove excess CO₂. Other symptoms of diabetic ketoacidosis include fruity-smelling breath, dry skin and mouth, flushed face, nausea, vomiting, and stomach pain.

Given that the nurse is caring for a client with diabetic ketoacidosis who is experiencing Kussmaul's respirations, the appropriate action would be to c) Notify the healthcare provider. It is important to involve the healthcare provider to ensure proper management and treatment of the client's condition.

Once the healthcare provider is notified, the nurse should d) Document the findings and continue care. Proper documentation is essential for maintaining accurate records and communicating the client's status to the healthcare team.