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 C

Explanation

A. Making a list of favorite beverages shows awareness but does not necessarily indicate an understanding of fluid restriction.
B. Putting beverages in large containers to deceive fluid intake is not a recommended or appropriate strategy for managing fluid restriction.
C. Not adding fluid-rich foods like ice cream to the total fluid intake demonstrates an understanding of fluid restriction and adherence to the prescribed limit.
D. Consuming most fluids during the evening is not an appropriate strategy for fluid restriction; fluid intake should be evenly distributed throughout the day.

A. pH 7.45 B. PaCO, 50 mm Hg C. Potassium 3.3 mEq/L D. HCO 30 mEq/L

Correct Answer is B

Explanation

A. In respiratory acidosis, the pH would be lower than normal due to an excess of carbon dioxide.
B. PaCO2 (partial pressure of carbon dioxide) would be elevated in respiratory acidosis because of inadequate ventilation leading to CO2 retention.
C. Potassium levels may vary depending on other factors but are not directly related to respiratory acidosis.
D. HCO3 (bicarbonate) levels may be normal or increased compensatorily in chronic respiratory acidosis, not necessarily decreased.

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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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Naxlex Comprehensive Predictor Exams

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