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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: While voluntary agreement is essential, understanding the procedure is the core of informed consent.
Choice B reason: Clarity is important, but it is not the sole requirement; the patient's understanding is crucial.
Choice C reason: Documentation is part of the process, but it does not replace the need for the patient's understanding.
Choice D reason: For informed consent to be valid, the patient must understand the nature and risks of the surgical procedure, which is the most critical aspect.
Correct Answer is A
Explanation
Choice A reason: Hyperventilation is a common response to respiratory alkalosis as the body tries to compensate for the high pH by exhaling more carbon dioxide.
Choice B reason: Dyspnea, or difficulty breathing, may be present but is not as specific as hyperventilation for respiratory alkalosis.
Choice C reason: Abdominal pain is not typically associated with respiratory alkalosis.
Choice D reason: Dizziness can be a symptom of respiratory alkalosis due to changes in blood chemistry, but it is less specific than hyperventilation.
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