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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: A pH of 7.39 is near the lower end of the normal range (7.35-7.45) and would not typically indicate respiratory acidosis.

Choice B reason: A pH of 7.31 is below the normal range, indicating an acidic environment, which is consistent with respiratory acidosis.

Choice C reason: A pH of 7.48 is above the normal range, indicating a more alkaline environment, which would suggest respiratory alkalosis, not acidosis.

Choice D reason: A pH of 7.50 is also above the normal range and would indicate alkalosis rather than acidosis.

A. The patient's son B. The patient C. The patient's health care proxy D. The patient and her son

Correct Answer is B

Explanation

Choice A reason: The patient's son may be present for support, but he does not have the authority to sign the consent form unless he is a designated health care proxy and the patient is not competent.

Choice B reason: Since the patient is alert and competent, she has the right and responsibility to provide consent for her own medical procedures.

Choice C reason: A health care proxy is authorized to make decisions on behalf of the patient only if the patient is unable to do so.

Choice D reason: The consent form should be signed by the patient alone if she is competent, regardless of who accompanies her to the facility.

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A nurse is caring for a patient who has respiratory alkalosis and hyperventilating. Which of the following interventions should the nurse implement?

Nursing Test Bank

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