A nurse is caring for a client who has respiratory alkalosis and is hyperventilating Which of the following actions should the nurse take?

Have the client place their head between their knees.

Have the client breath into a paper bag.

Plan to administer sodium bicarbonate to the client

Plan to administer insulin to the client

Answer and Explanation

The Correct Answer is B

A.   Having the client place their head between their knees is a measure used to alleviate symptoms associated with hyperventilation but does not directly address the underlying respiratory alkalosis.
B.   Having the client breathe into a paper bag helps retain carbon dioxide, which can help reverse respiratory alkalosis by increasing PaCO2 levels and subsequently decreasing pH.
C.   Administering sodium bicarbonate would worsen alkalosis by further increasing the pH and bicarbonate levels.
D.   Administering insulin is not indicated for respiratory alkalosis and hyperventilation.

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Correct Answer is B

Explanation

A. Blood urea nitrogen (BUN) can be affected by factors other than renal function, such as hydration status and protein intake.
B. Serum creatinine is a more specific indicator of renal function because it reflects the glomerular filtration rate (GFR). Elevated levels indicate impaired renal function.
C. Urine-specific gravity can provide some information about renal concentrating ability but is not as specific or sensitive as serum creatinine for assessing overall renal function.
D. Serum sodium levels may be affected by various factors, including hydration status and medications, but they do not directly reflect renal function.

A. Wheezing B. Decreased deep tendon reflexes C. Cerebral edema D. Hypoactive bowel sounds

Correct Answer is B

Explanation

A. Wheezing is not typically associated with hyperkalemia. It can be seen in conditions such as asthma or chronic obstructive pulmonary disease (COPD).
B. Hyperkalemia can lead to neuromuscular manifestations, including decreased deep tendon reflexes due to suppression of neuromuscular excitability.
C. Cerebral edema is not a typical manifestation of hyperkalemia. It may occur in conditions such as hyponatremia or severe metabolic acidosis.
D. Gastrointestinal manifestations of hyperkalemia are typically related to smooth muscle involvement and can include hyperactive bowel sounds or diarrhea.

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A nurse is caring for a client who has respiratory alkalosis and is hyperventilating Which of the following actions should the nurse take?

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