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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Certain malignancies, particularly lung cancer, can produce ectopic antidiuretic hormone (ADH) or ADH-like substances, leading to SIADH. It's important to inquire about a history of lung cancer due to its association with SIADH.
B. Osteoarthritis is a degenerative joint disease and is not known to cause SIADH.
C. Dyspepsia refers to upper gastrointestinal discomfort and is not associated with SIADH.
D. Liver cirrhosis can lead to various complications, including hepatic encephalopathy and ascites, but it is not typically associated with SIADH.
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.
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