A nurse is caring for a client who has respiratory acidosis. Which of the following pH levels should the nurse expect?

A. Check for orthostatic hypertension: While checking for orthostatic hypertension is important; it is not the first action a nurse should take when administering an IV antihypertensive. The priority is to monitor the client’s response to the medication.

B. Instruct the client to restrict sodium intake: While dietary modifications such as sodium restriction can help manage hypertension, it is not the immediate concern when administering an IV antihypertensive. The priority is to monitor the client’s response to the medication.

C. Assist the client to make lifestyle changes: Lifestyle changes are a crucial part of managing hypertension, but they are not the immediate concern when administering an IV antihypertensive. The priority is to monitor the client’s response to the medication.

D. Monitor the client’s BP every 5 minutes: This is the correct answer. When administering an IV antihypertensive, it is crucial to closely monitor the client’s blood pressure to assess the effectiveness of the medication and to ensure the client’s safety. The client’s high blood pressure of 185/130 mm Hg is a serious condition that requires immediate and careful management.

A. Hypoglycemia: Hypoglycemia, or low blood sugar, is not typically associated with hypokalemia. Hypokalemia is a condition characterized by low levels of potassium in the blood. While both conditions can occur due to certain diseases or medication use, they are not directly related.

B. Hyperreflexia: Hyperreflexia, a condition characterized by overactive reflexes, is not a common symptom of hypokalemia. Hypokalemia primarily affects muscle function, leading to symptoms such as muscle weakness, cramps, and potentially cardiac dysrhythmias. It does not typically cause an overactive reflex response.

C. Cardiac dysrhythmias: This is correct. Hypokalemia can lead to cardiac dysrhythmias. Potassium plays a crucial role in maintaining normal electrical activity in the heart. When potassium levels are low, it can disrupt this electrical activity, leading to irregular heart rhythms.

D. Increased appetite: Increased appetite is not a typical symptom of hypokalemia. In fact, loss of appetite is more commonly associated with this condition. Severe hypokalemia can affect the functioning of the muscles in the digestive system, leading to symptoms such as bloating, constipation, and abdominal pain.