A nurse is caring for a patient who has respiratory alkalosis and hyperventilating. Which of the following interventions should the nurse implement?
Administer sodium bicarbonate to the patient.
Provide a paper bag for the patient to breathe into.
Monitor the patient's head being between their knees.
Administer acetazolamide to the patient.
The Correct Answer is B
Choice A reason: Administering sodium bicarbonate is not indicated for respiratory alkalosis as it is an alkalinizing agent and could worsen the condition.
Choice B reason: Breathing into a paper bag can help to rebreathe CO2, which can help correct the pH in cases of hyperventilation-induced respiratory alkalosis.
Choice C reason: Having the patient's head between their knees is not a standard intervention for respiratory alkalosis and could be uncomfortable or unsafe for the patient.
Choice D reason: Acetazolamide is a diuretic that can cause metabolic acidosis to compensate for respiratory alkalosis, but it is not typically used for acute management of hyperventilation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Performing deep breathing exercises every 2 hours helps prevent postoperative complications such as pneumonia and atelectasis.
Choice B reason: While chest movement is part of breathing, the instruction is incomplete and should emphasize diaphragmatic breathing rather than shoulder movement.
Choice C reason: Taking a deep breath before coughing helps to increase the effectiveness of the cough, which can clear secretions from the lungs.
Choice D reason: Sitting up straight before beginning coughing exercises helps to ensure maximum lung expansion and effectiveness of the cough.
Choice E reason: Using a pillow to support the surgical area when coughing can help reduce pain and protect the incision site, making the cough more effective.
Correct Answer is B
Explanation
Choice A reason: Diarrhea is not typically associated with respiratory alkalosis. It is more commonly related to gastrointestinal issues.
Choice B reason: Hyperventilation is a common finding in respiratory alkalosis. It occurs when a person breathes rapidly and deeply, expelling too much carbon dioxide from the body, which raises the pH of the blood.
Choice C reason: Abdominal pain is not a specific finding related to respiratory alkalosis and can be associated with a variety of health issues.
Choice D reason: Dry skin is not directly related to respiratory alkalosis. While it can be a symptom of various conditions, it does not specifically indicate this type of acid-base imbalance.
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