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.
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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Related Questions
Correct Answer is D
Explanation
Choice A reason: Keeping the bathroom door open does not address the safety risk of the patient bearing weight on the operative foot.
Choice B reason: While it is important to assist the patient back to bed, providing a bedpan does not address the immediate safety concern.
Choice C reason: Warning the patient about restraints is not appropriate without first educating the patient about the importance of not bearing weight and the potential risks.
Choice D reason: Telling the patient to remain in the bathroom until a wheelchair can be obtained ensures the patient's safety and prevents further weight-bearing on the operative foot.
Correct Answer is C
Explanation
Choice A reason: Atropine is used to treat bradycardia and is not an antidote for warfarin overdose.
Choice B reason: Protamine is used to reverse the effects of heparin, not warfarin.
Choice C reason: Vitamin K is the antidote for warfarin overdose as it helps in the synthesis of clotting factors that warfarin inhibits.
Choice D reason: Epinephrine is used for severe allergic reactions and cardiac arrest, not as an antidote for warfarin overdose.
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