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.

Answer and Explanation

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.

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Correct Answer is "{\"xRanges\":[89.96875,99.96875],\"yRanges\":[232.87109375,242.87109375]}"

Explanation

The posterior tibial pulse is typically palpated just behind the medial malleolus, which is the bony prominence on the inner side of the ankle. To locate this pulse, one should place their fingers in the groove between the medial malleolus and the Achilles tendon.

While checking the client's medication administration record, it was determined the client

A. Bimanual palpation B. Deep palpation C. Percussion D. Light palpation

Correct Answer is D

Explanation

A. Bimanual palpation is used to assess organs or masses, not pulse.

B. Deep palpation is used to feel internal organs and not appropriate for assessing pulse.

C. Percussion is used to assess the density of body tissues, not for pulse assessment.

D. Light palpation is the correct technique for assessing a client's pulse, allowing the nurse to feel the arterial pulse.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's peripheral circulation. In which of the following locations should the nurse palpate to assess the posterior tibial pulse? (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)

Correct Answer is "{\"xRanges\":[89.96875,99.96875],\"yRanges\":[232.87109375,242.87109375]}"

Explanation

What physical assessment technique would the nurse use to obtain a pulse on a client?

Correct Answer is D

Explanation

In caring for a quadriplegic client which action would the nurse implement to prevent skin breakdown?

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