A nurse in the community clinic is providing care to a client who is anxious and hyperventilating. What should the nurse do to reduce the risk of respiratory alkalosis?
Have the place a plastic bag over their head and breathe.
Teach the client breathing techniques that focus on breathing and relaxing
Position the client in a high-Fowler position.
Encourage the client to try to remain calm.
The Correct Answer is B
A. Having the client place a plastic bag over their head is dangerous and should never be done.
B. Teaching breathing techniques, such as diaphragmatic breathing or using a paper bag, helps the client retain more carbon dioxide and can prevent respiratory alkalosis.
C. Positioning the client in a high-Fowler position may be helpful for breathing but does not address hyperventilation or respiratory alkalosis directly.
D. While encouraging the client to remain calm may help, it is not as effective as teaching specific breathing techniques.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The pinnae of the ears may not provide an accurate assessment for cyanosis in clients with dark skin.
B. The dorsal surface of the hand can be misleading in clients with dark skin.
C. In clients with dark skin, cyanosis is best assessed in areas where the pigmentation is less prominent, such as the oral mucosal lining.
D. The dorsal surface of the foot is not an ideal site for assessing cyanosis in this client population.
Correct Answer is A
Explanation
A. In a trauma situation, airway, breathing, and circulation (ABCs) are the top priority. Evaluating chest expansion assesses the client’s ability to breathe and maintain oxygenation, making it the first action.
B. Checking the client's orientation is important but secondary to assessing breathing.
C. Pupillary response is an assessment that is important but comes after ensuring the client is breathing adequately.
D. Capillary refill are assessments that are important but come after ensuring the client is breathing adequately.
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