1.5 Repiratory Alkalosis
The nurse is interpreting the following ABG analysis of a client who has had an anxiety attack: pH 7.48, pCO2 28 mmHg, HCO3 25 mEq/L, and pO2 88 mmHg. Which action should the nurse perform first? Analyze the pH Determine the bicarbonate level Look at the pCO2 Observe for compensation
Analyze the pH
The nurse is caring for a client, admitted with respiratory alkalosis, who is complaining of numbness and tingling of the mouth and fingers. Based on this assessment, which of the client's laboratory values is likely altered? Potassium Calcium Sodium Chloride
Calcium
The nurse is caring for a client who is receiving mechanical ventilation for the treatment of respiratory alkalosis. Which ventilator setting does the nurse anticipate for this client? Decrease in oxygen setting Increase in rate of respiration setting Increase in the PEEP setting Decrease in tidal volume setting
Decrease in tidal volume setting
The nurse is providing care to a client who is diagnosed with respiratory alkalosis. Which intervention will the nurse implement first for this client? Administer a sedative medication Administer an antianxiety medication Encourage slow, deep breaths Place a nonrebreather oxygen mask
Encourage slow, deep breaths
The nurse is caring for a client who experiences panic attacks frequently. Which interventions are appropriate for this client? (Select all that apply.) Ordering oxygen Encouraging slow and regular breaths Administering an antianxiety medication Administering a sedative medication Adjusting ventilator settings to regulate breathing
Encouraging slow and regular breaths Administering an antianxiety medication Administering a sedative medication
The nurse is caring for a client who is receiving oxygen by a nonrebreather mask for the treatment of respiratory alkalosis. What is the rationale for receiving oxygen in this manner? It allows the client to get rid of extraneous O2 . It is the treatment of choice for myocardial infarction. It increases CO2 levels. It promotes relaxation.
It increases CO2 levels.
The nurse is admitting the client to the unit with a diagnosis of respiratory alkalosis. During the interview, the nurse asks the client about any previous health issues. The client reports several issues. Which historical data would be pertinent to the current diagnosis? A tonsillectomy at age 6 Previous hospitalization for palpitations A hysterectomy A heart catheterization 2 years ago
Previous hospitalization for palpitations
The nurse is caring for a client who is diagnosed with respiratory alkalosis. Which items in the client's history supports this diagnosis? (Select all that apply.) History of anxiety disorder Frequent use of NSAIDs for chronic pain Well-controlled diabetes mellitus Use of antianxiety medications prn Recent pneumonia
Recent pneumonia History of anxiety disorder
A client is admitted to the emergency department for respiratory alkalosis. The nurse records the following assessment data: client febrile with a temperature of 102.8, lungs clear to auscultation, abdomen nontender, no edema noted, no complaints of pain, respirations 26. Which assessment data set is the probable cause of respiratory alkalosis? No edema Temperature Abdomen nontender Clear lung sounds
Temperature
The nurse is writing a plan of care for a client admitted to the hospital with respiratory alkalosis. Which outcome would be appropriate for this client? The client 's incision will remain infection free. The client will report a pain level of 3/10 after pain medication administration. The client will restore a normal respiratory rate and rhythm. The client will have no further reports of vomiting.
The client will restore a normal respiratory rate and rhythm.
The nurse is preparing a presentation to a group of students about the risk factors for respiratory alkalosis. Which topics will the nurse include in the presentation? (Select all that apply.) Thyrotoxicosis High fever Vomiting Hypoventilation Anxiety
Thyrotoxicosis High fever Anxiety
