The nurse is teaching a patient recently diagnosed with coccidioidomycosis. Which patient statement indicates a need for further teaching? (Select All that Apply.)

Rationale:
A. Sodium bicarbonate is not the first-line treatment for respiratory acidosis. It is rarely used because the underlying issue is inadequate ventilation, not metabolic imbalance.
B. Increasing ventilatory support is the priority intervention. Respiratory acidosis results from hypoventilation and CO₂ retention, so improving ventilation (e.g., mechanical ventilation, noninvasive positive pressure ventilation, or adjusting ventilator settings) directly corrects the problem.
C. Supplemental oxygen may be necessary if hypoxemia is present, but oxygen alone will not correct CO₂ retention and could worsen hypercapnia in COPD patients if overused.
D. Deep breathing exercises can help in mild cases but are insufficient for acute or severe respiratory acidosis, where immediate ventilatory support is needed.

Rationale:
A. Acute abdominal pain is not a typical manifestation of pulmonary TB; it may occur with extrapulmonary TB affecting the abdomen, but it is not common.
B. Sudden onset of high fever and chills is more characteristic of acute bacterial infections, not the gradual onset of TB.
C. Severe headache and neck stiffness suggest meningitis, which could occur with TB meningitis, but this is less common than pulmonary TB.
D. Persistent cough lasting more than three weeks is a classic symptom of active pulmonary TB, often accompanied by sputum production, hemoptysis, fatigue, and low-grade fever.