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 D

Explanation

A. Infusing hypotonic fluids such as 0.45% sodium chloride can exacerbate hyponatremia in a client with SIADH by further diluting serum sodium levels.
B. Desmopressin acetate is a synthetic form of ADH and would exacerbate the symptoms of SIADH by increasing water reabsorption and further diluting serum sodium levels.
C. Increasing dietary sodium intake would not be appropriate for a client with SIADH, as it would contribute to further fluid retention and exacerbate hyponatremia.
D. Fluid restriction is a key component of managing SIADH to prevent further water retention and dilutional hyponatremia. Restricting fluid intake helps to normalize serum sodium levels by allowing excess water to be excreted.

A. Dry skin B. Abdominal pain C. Lethargy D. Numbness of fingers

Correct Answer is C

Explanation

A. Dry skin is not a typical manifestation of respiratory acidosis.
B. Abdominal pain is not a typical manifestation of respiratory acidosis.
C. Lethargy and altered mental status are common manifestations of respiratory acidosis due to the effects of hypercapnia (elevated PaCO2) on the central nervous system.
D. Numbness of fingers is not a typical manifestation of respiratory acidosis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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