After completing the planning step of the nursing process for a client who has an acid-base imbalance, which of the following steps should the nurse take next?
Evaluation
Data Collection
Re-collection of Data
Implementation
The Correct Answer is D
Choice A reason: Evaluation is the final step of the nursing process, where the nurse assesses the client's response to the nursing interventions.
Choice B reason: Data Collection is the first step of the nursing process, where the nurse gathers information about the client's health status.
Choice C reason: Re-collection of Data may be necessary if there are changes in the client's condition, but it is not the immediate next step after planning.
Choice D reason: Implementation is the correct answer because it is the step where the nurse puts the care plan into action, following the planning step.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Metabolic alkalosis is not commonly associated with COPD. It occurs when there is an accumulation
of bicarbonate or a loss of hydrogen ions.
Choice B reason: Respiratory acidosis is a common acid-base imbalance in clients with COPD. It occurs due to the retention of CO2 as a result of reduced respiratory function.
Choice C reason: Metabolic acidosis is characterized by a decrease in serum bicarbonate and is not typically a direct
result of COPD.
Choice D reason: Respiratory alkalosis occurs when there is a decrease in CO2 levels, which is the opposite of what is expected in COPD.
Correct Answer is B
Explanation
Choice A reason: Having the client place their head between their knees may help with some causes of hyperventilation, but it is not a standard treatment for respiratory alkalosis.
Choice B reason: Having the client breathe into a paper bag can help to rebreathe exhaled carbon dioxide, which can
help correct the low carbon dioxide levels seen in respiratory alkalosis.
Choice C reason: Insulin is not indicated for respiratory alkalosis as it is used for the management of hyperglycemia, not for correcting acid-base imbalances.
Choice D reason: Sodium bicarbonate is used to treat metabolic acidosis, not respiratory alkalosis, and could
exacerbate the alkalosis.
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