Deck 1: Acid-Base Balance

Question 1

The nurse is reviewing the latest arterial blood gas results for a client with metabolic alkalosis.Which result indicates that the metabolic alkalosis is compensated?

A)pH 7.32
B)PaCO₂ 18 mmHg
C)HCO₃ 8 mEq/L
D)PaCO₂ 48 mmHg

Answer 1

PaCO₂ 48 mmHg

Question 2

Why should a nurse take daily weights of a client with acid-base balance?

A)It helps monitor oxygenation status.
B)It helps monitor perfusion of organs.
C)It helps monitor renal function.
D)It helps monitor fluid balance.

Answer 2

It helps monitor fluid balance.

Question 3

When considering acid-base balance,health promotion should focus on

A)conducting yearly health screenings.
B)obtaining immunizations.
C)beginning an exercise regimen.
D)maintaining fluid balance.

Answer 3

maintaining fluid balance.

Question 4

The nurse is analyzing the client's arterial blood gas report,which reveals a pH of 6.58.The client has just suffered a cardiac arrest.Which consequences of this pH value does the nurse consider for this client?

A)Decreased cardiac output
B)Increase magnesium levels
C)Decreased free calcium in the ECT
D)Increased myocardial contractility

Question 5

The client is receiving sodium bicarbonate intravenously (IV)for correction of acidosis secondary to diabetic coma.The nurse assesses the client to be lethargic,confused,and breathing rapidly.Which is the nurse's priority response to the current situation?

A)Stop the infusion and notify the physician because the client is in alkalosis.
B)Decrease the rate of the infusion and continue to assess the client for symptoms of alkalosis.
C)Continue the infusion,because the client is still in acidosis,and notify the healthcare provider.
D)Increase the rate of the infusion and continue to assess the client for symptoms of acidosis.

Question 6

The nurse is identifying a diagram to use to explain a client's acid-base balance.Which imbalance does the following diagram suggest is occurring with the client?

A)Metabolic acidosis
B)Metabolic alkalosis
C)Respiratory acidosis
D)Respiratory alkalosis

Question 7

The nurse is caring for a comatose client with metabolic acidosis.For which intervention will the nurse need to collaborate when caring for this client?

A)Measuring vital signs
B)Measuring intake and output
C)The client's recent eating behaviors
D)Identifying current oxygen saturation level

Question 8

A client with a suspected acid-base imbalance has arterial blood gases tested.The test reveals a serum bicarbonate level of 22 mEq/L.The nurse understands that this bicarbonate level is

A)slightly high.
B)slightly low.
C)extremely high.
D)within normal range.

Question 9

A child with acute asthma has a PaCO₂ of 48 mmHg,a pH of 7.31,and a normal HCO₃ blood gas value.The nurse interprets these findings as indicative of which condition?

A)Metabolic acidosis
B)Respiratory alkalosis
C)Respiratory acidosis
D)Metabolic alkalosis

Question 10

If a change in acid-base balance is due to hypoventilation or hyperventilation,the nurse will need to primarily focus on which concept related to acid-base balance?

A)Oxygenation
B)Perfusion
C)Cognition
D)Stress and coping

Question 11

The nurse is preparing to analyze a client's arterial blood gas results.List the steps in the order that the nurse should follow when analyzing this laboratory test.
1.Look at the PaCO₂.
2.Look at the pH.
3.Evaluate the relationship between pH and PaCO₂.
4.Look for compensation.
5.Evaluate the pH,HCO₃,and base excess for a possible metabolic problem.
6.Look at the bicarbonate.
7.Evaluate oxygenation

Question 12

The nurse performing a blood draw for arterial blood gases first performs a modified Allen test for what purpose?

A)To reduce the risk of bleeding or bruising of the arm
B)To determine if arterial puncture can safely be performed
C)To determine the oxygen saturation of the blood in the artery
D)To determine the pressure of the blood in the artery

Question 13

A client has been admitted with chronic obstructive pulmonary disease.Diagnostic tests have been ordered.Which of the tests will provide the most accurate indicator of the client's acid-base balance?

A)Arterial blood gases (ABGs)
B)Pulse oximetry
C)Sputum studies
D)Bronchoscopy

Question 14

The results of a client's arterial blood gas sample reveal an oxygen level of 72 mmHg.For which associated health problem should the nurse assess this client?

A)Stress and coping
B)Perfusion
C)Fluid and electrolyte imbalance
D)Cognition

Question 15

The nurse is caring for a client who has been admitted with persistent diarrhea lasting 3 days.Which are appropriate nursing diagnoses for this client during the acute phase of the illness? Select all that apply.

A)Decreased Cardiac Output
B)Ineffective Airway Clearance
C)Overflow Urinary Incontinence
D)Knowledge Deficit
E)Risk for Injury

Question 16

A client is brought to the emergency department (ED)after passing out in a local department store.The client has been fasting and has ketones in the urine.Which acid-base imbalance would the nurse expect to assess in this client?

A)Metabolic acidosis
B)Respiratory alkalosis
C)Metabolic alkalosis
D)Respiratory acidosis

Question 17

An intervention that can be implemented independently by the nurse caring for a client with an acid-base balance is

A)monitoring intake and output.
B)drawing blood for ABGs.
C)giving sodium bicarbonate infusions.
D)administering oxygen via nasal cannula.

Question 18

Which risk factors exhibited by the client presenting in the emergency department (ED)would place the client at risk for metabolic acidosis? Select all that apply.

A)Abdominal fistulas
B)Chronic obstructive pulmonary disease
C)Pneumonia
D)Acute renal failure
E)Hypovolemic shock

Question 19

Acid-base balance is critical to homeostasis and cellular function.One measurement of acid-base balance is the pH of the blood.Which ion is measured to determine the pH?

A)Cl^-
B)H⁺
C)Na⁺
D)HCO₃

Question 20

The nurse is instructing a client with a history of acidosis on the use of sodium bicarbonate.Which client statement indicates that additional teaching is needed?

A)"I should contact the doctor if I have any gastric discomfort with chest pain."
B)"I need to purchase antacids without salt."
C)"I should use the antacid for at least 2 months."
D)"I should call the doctor if I get short of breath or start to sweat with this medication."

Question 21

The nurse is caring for a client with metabolic acidosis.Which goals are appropriate for this client? Select all that apply.

A)The client will maintain a respiratory rate of 30 or more.
B)The client will describe preventative measure for the underlying chronic illness.
C)The client will maintain baseline cardiac rhythm.
D)The client will remain in a pH range from 7.25 to 7.35.
E)The client will take potassium supplements to increase potassium levels.

Question 22

A client with severe metabolic alkalosis is admitted to the unit.Which is the priority for the client?

A)Administering medication for metabolic alkalosis
B)Monitoring oxygen saturation
C)Teaching the client the risk factors for metabolic alkalosis
D)Setting goals for the client with metabolic alkalosis

Question 23

The nurse is preparing to discharge a client with congestive heart failure on furosemide (Lasix).The nurse determines that teaching has been effective if the client makes which statement?

A)"I will use only sodium bicarbonate as my antacid."
B)"I will restrict my intake of fluids."
C)"I will use potassium supplements while I am taking Lasix."
D)"I will take antacids only for my gastric discomforts."

Question 24

The nurse is caring for a client who has been admitted to the hospital for congestive heart failure.Which data collected during the nursing assessment indicate that the client is at risk for metabolic alkalosis? Select all that apply.

A)The client takes furosemide (Lasix)daily.
B)The client takes a baby aspirin once daily.
C)The client takes metformin daily.
D)The client frequently uses calcium carbonate (Tums)for acid indigestion.
E)The client takes acetaminophen as needed for pain.

Question 25

An adolescent is hospitalized following several days of vomiting due to food poisoning.The nurse is planning to include which points when teaching the client's family at discharge? Select all that apply.

A)Immunizations for the adolescent
B)Nutritional patterns of the adolescent
C)Signs and symptoms of metabolic alkalosis
D)Proper food-handling techniques
E)Normal laboratory values of the adolescent

Question 26

The nurse is planning care for the client with Cushing syndrome who has been admitted for complications related to the disease process.Which intervention should the nurse plan for this client to improve the impaired gas exchange?

A)Monitor serum electrolytes.
B)Schedule nursing activities to allow for periods of rest.
C)Assess input and output accurately.
D)Administer IV fluids per practitioner order.

Question 27

An alkalinizing solution often given intravenously to clients with severe acute metabolic acidosis is

A)sodium bicarbonate.
B)sodium chloride.
C)potassium chloride.
D)dextrose.

Question 28

The nurse identifies the diagnosis Risk for Injury as appropriate for a client with metabolic acidosis.Which strategies should the nurse use to support this diagnosis? Select all that apply.

A)Apply wrist restraints and secure to the bed frame.
B)Discuss chemical restraint use with the healthcare provider.
C)Keep the bed in the lowest position.
D)Keep bed side rails raised.
E)Place a clock and calendar at the bedside.

Question 29

The client has been vomiting for several days.The nurse knows that the client is at risk for metabolic alkalosis because gastric secretions have which characteristic?

A)Gastric secretions are green in color.
B)Gastric secretions are alkaline.
C)Gastric secretions are acidic.
D)Gastric secretions have a foul smell.

Question 30

An older adult client has a history of heart disease and dementia and takes several medications.His wife states that sometimes he forgets to take his medications,or he takes multiple doses of his medications,due to his dementia.An accidental overdose of which medication could result in metabolic acidosis?

A)Losartan (an angiotensin II receptor blocker to reduce hypertension)
B)Simvastatin (a statin to reduce blood cholesterol levels)
C)Rivastigmine (a cholinesterase inhibitor to reduce symptoms of dementia)
D)Aspirin (a salicylate to decrease risk of heart attack)

Question 31

A compensatory mechanism that may indicate to a nurse that a client is experiencing metabolic acidosis includes:

A)headache.
B)Kussmaul respirations.
C)vomiting.
D)decreased level of consciousness.

Question 32

Upon entering a room,the nurse quickly scans the environment and then immediately assesses the client for manifestations of metabolic acidosis.Which did the nurse observe to precipitate this client assessment?

A)Client sleeping with the head of the bed flat
B)Half of the client's lunch tray uneaten
C)One formed stool in the bedside commode
D)2000 mL of intravenous 0.9% normal saline infused in 2 hours

Question 33

The nurse is caring for the client experiencing hypovolemic shock and metabolic acidosis.Which therapies would the nurse question if planned for this client? Select all that apply.

A)Monitor weight on admission and discharge.
B)Monitor ECG for conduction problems.
C)Limit the intake of fluids.
D)Administer sodium bicarbonate.
E)Keep the bed in the locked and low position.

Question 34

A common cause of metabolic acidosis is

A)hyperventilation in a client with anxiety.
B)high blood glucose in a client with type 1 diabetes.
C)vomiting in a client with a gastrointestinal infection.
D)opiate overdose in a client with depression.

Question 35

The nurse is caring for a client admitted with renal failure and metabolic acidosis.Which clinical manifestation would indicate to the nurse that planned interventions to relieve the metabolic acidosis have been effective?

A)Decreased respiratory depth
B)Palpitations
C)Increased deep tendon reflexes
D)Respiratory rate of 38

Question 36

The nurse is caring for a 3-month-old infant who presented to the emergency department (ED)with fever,diarrhea,vomiting,and diaper rash over the past 48 hours.Which symptom puts this client most at risk for metabolic acidosis?

A)Fever
B)Diarrhea
C)Vomiting
D)Diaper rash

Question 37

A client with metabolic acidosis has been admitted to the unit from the emergency department (ED).The client is experiencing confusion and weakness.Which nursing intervention is the priority for this client?

A)Placing the client in a high-Fowler position
B)Protecting the client from injury
C)Administering sodium bicarbonate
D)Providing the client with appropriate skin care

Question 38

During a home visit,the nurse evaluates care provided to a client with type 1 diabetes mellitus and a history of metabolic acidosis.Which outcome indicates that the care of this client has been successful?

A)The client is injecting insulin into thigh muscle.
B)The client is taking laxatives three times a week to ensure adequate bowel movements.
C)The client is eating three balanced meals per day with two snacks.
D)The client is taking aspirin 325 mg every 6 hours to treat arthritis pain.

Question 39

The nurse is preparing to teach a client with type 1 diabetes mellitus on the mechanism behind the development of ketoacidosis.List the order in which the nurse should provide this information.
1.Production of lactate and hydrogen ions
2.Tissue hypoxemia
3.Breakdown of fatty tissue
4.Reduction in intracellular glucose
5.Fatty acids converted to ketones

Question 40

The nurse is planning care for the client who has been admitted with metabolic alkalosis.Which are appropriate nursing diagnoses for this client during the acute phase of the illness? Select all that apply.

A)Ineffective Health Maintenance
B)Risk for Hypothermia
C)Deficient Fluid Volume
D)Risk for Impaired Gas Exchange
E)Risk for Injury

Question 41

A client with hyperaldosteronism is admitted to the unit and is at risk for impaired gas exchange.In which position should this client be placed to enhance gas exchange?

A)Fowler position
B)Prone position
C)Left side-lying position
D)Right Sims position

Question 42

The nurse is providing care to a client recently extubated for treatment of aspiration pneumonia and respiratory acidosis.Which action by the nurse provides an optimum environment for this client?

A)Allowing family members to remain with client as much as possible
B)Restraining the client
C)Placing the client in a side-lying position
D)Administering narcotics for pain

Question 43

A client is admitted with manifestations of metabolic alkalosis.Which diagnostic test findings support the admitting diagnosis? Select all that apply.

A)Serum glucose level 142 mg/dL
B)Blood pH 7.47 and bicarbonate 34 mEq/L
C)Intravenous pyelogram shows kidney stones
D)Bilateral lower lobe infiltrates noted on chest x-ray
E)Electrocardiogram changes consistent with hypokalemia

Question 44

The nurse is reviewing prescriptions written for a client with chronic respiratory acidosis.Which prescription should the nurse question prior to implementation?

A)Keep head of the bed elevated to 40-degree angle.
B)Dextrose 5% and 0.45% normal saline at 100 mL per hour
C)Consult Respiratory Therapy for breathing treatments four times a day.
D)Oxygen 6 liters per minute per nasal cannula

Question 45

The nurse is preparing to admit a client with acute pneumonia who is experiencing severe respiratory acidosis.Which treatments does the nurse anticipate as appropriate for this client? Select all that apply.

A)Administer oxygen prn.
B)Administer digoxin for heart failure.
C)Encourage up to 3 L of fluids per day.
D)Place in a prone position.
E)Reposition frequently.

Question 46

The nurse is caring for a client who has been admitted to the unit with respiratory failure and respiratory acidosis.Which data from the nursing history would the nurse suspect contributed to the client's current state of health?

A)Use of ibuprofen for the control of pain
B)A recent trip to South America
C)Aspiration pneumonia
D)Recent recovery from a cold virus

Question 47

The nurse is preparing discharge instructions for an older adult client recovering from respiratory acidosis caused by restrictive lung disease and pneumonia.Which topics should the nurse include in the discharge teaching for this client? Select all that apply.

A)Obtain annual influenza immunization.
B)Engage in frequent hand washing.
C)Avoid crowds.
D)Cover the nose and mouth when coughing.
E)Restrict fluids.

Question 48

The nurse is caring for a client who is being mechanically ventilated.The current ventilator settings are: respiratory rate,25 breaths per minute;tidal volume,600 mL;FiO₂,30%;humidification 30 mg H₂O/L.After being ventilated for 2 hours,arterial blood gas analysis reveals a pH of 7.20 and a PaCO₂ of 49 mmHg.Which change in ventilator settings should the nurse anticipate?

A)Increase in humidification of inspired air
B)Decrease of FiO₂ from 30% to 25%
C)Increased respiratory rate to 30 breaths per minute
D)Decreased tidal volume of each breath

Question 49

The nurse suspects a client with one functioning lung is developing chronic respiratory acidosis.Which manifestation did the nurse most likely assess in this client?

A)Warm,flushed skin
B)Daytime sleepiness
C)Irritability
D)Blurred vision

Question 50

Clinical manifestations of metabolic alkalosis are similar to signs of

A)hypocalcemia.
B)hypokalemia.
C)hypercalcemia.
D)hyperkalemia.

Question 51

A client with pneumonia develops respiratory acidosis.Based on provider's orders,which medications should the nurse prepare to administer to this client? Select all that apply.

A)The loop diuretic furosemide (Lasix),20 mg by mouth twice a day
B)The antibiotic amoxicillin,1 gram intravenous every 6 hours
C)The bronchodilator albuterol,inhaler 2 puffs every 4 hours
D)The anxiolytic diazepam (Valium),2 mg by mouth at bedtime for sleep
E)Potassium chloride 20 mEq in 100 mL 0.9% normal saline intravenous every day

Question 52

A client is admitted to the emergency department (ED)for treatment of an overdose.The client's arterial blood gas results indicate acute respiratory acidosis.Which substance found on the nurse's review of the toxicology analysis is most likely the cause for the client's current condition?

A)Cocaine (a stimulatory anesthetic)
B)Marijuana (a cannabinoid)
C)Oxycodone (a narcotic)
D)PCP (a dissociative anesthetic)

Question 53

A school-age client is admitted to the hospital with respiratory acidosis.Which chronic lung illness in the client's health history does the nurse suspect is causing the current diagnosis?

A)Cystic fibrosis
B)Aspiration
C)Hyperthyroidism
D)Pneumonia

Question 54

During a home visit,the nurse evaluates teaching provided to a client recently hospitalized for metabolic alkalosis.Which observation indicates that additional teaching is required?

A)Drinks 2 cups of black coffee each day.
B)Consumes one orange each day with breakfast.
C)Ingests bicarbonate of soda after each meal.
D)Monitors and tracks daily weights.

Question 55

The nurse assumes care for a client who was brought to the hospital after a morphine overdose.What acid-base imbalance does the nurse expect to observe in this client?

A)Respiratory alkalosis
B)Respiratory acidosis
C)Metabolic alkalosis
D)Metabolic acidosis

Question 56

While reviewing laboratory results,the nurse notes that a client's potassium level is 2.8 mEq/L and chloride level is 100 mEq/L.Based on this data,which intervention does the nurse plan for this client?

A)Preparing to administer 0.9% sodium chloride infusion
B)Measuring for nasogastric tube insertion
C)Discussing potassium chloride replacement therapy with the healthcare provider
D)Reviewing implications of transfusing with ammonium chloride

Question 57

A newborn with pyloric stenosis has symptoms of projectile vomiting,leading to significant weight loss,dehydration,and metabolic alkalosis.What client teaching is necessary for the parents in caring for the infant until surgery to correct the defect?

A)Monitoring for hyperventilation to detect changes in health status
B)Breastfeeding techniques to reverse weight loss and dehydration
C)Positioning of the infant to prevent aspiration
D)Performing percussion and postural drainage to clear the airways

Question 58

During an assessment,the nurse becomes concerned that a client is at risk for developing metabolic alkalosis.What did the nurse assess that caused this concern?

A)Daily ingestion of a banana with breakfast
B)Daily weight consistent
C)Daily use of sodium bicarbonate for gastric upset
D)Daily use of prescribed nonsteroidal anti-inflammatory drugs (NSAIDs)for arthritic pain

Question 59

The nurse identifies the diagnosis Risk for Impaired Gas Exchange to guide the care of a client with metabolic alkalosis.Which assessment data supports this nursing diagnosis? Select all that apply.

A)Respiratory rate 8 per minute
B)Oxygen saturation 89%
C)Urine output 25 mL/hr
D)Restlessness and agitation
E)Weight loss of 3 kg overnight

Question 60

A client is admitted to the unit with chronic obstructive pulmonary disease.Blood gas analysis indicates respiratory acidosis.Based on this data,the nurse plans care based on which priority diagnosis?

A)Impaired Gas Exchange
B)Ineffective Airway Clearance
C)Impaired Mobility
D)Anxiety

Question 61

The nurse instructs a client with a history of acute respiratory acidosis and lung infections on ways to prevent further episodes of the health problem.Which client statement indicates that teaching has been effective?

A)"I will limit drinking alcohol to the evening hours only."
B)"I will limit my intake of bananas and oranges."
C)"I will take prescribed antibiotics until my symptoms subside."
D)"I will receive the annual influenza vaccination."

Question 62

The nurse is providing care to an older adult client diagnosed with respiratory alkalosis.The nurse states to the client,"Look into my eyes and breathe with me so that we can slow down your breathing rate." The client continues to look down and refuses to make eye contact with the nurse.The client's daughter later asks you to teach her how to help her mother to control her breathing.When documenting this client's care,which statement is appropriate for the nurse to include?

A)"The client is noncompliant with suggested treatment plan."
B)"The client is unable to understand and follow directions."
C)"The client did not feel comfortable making eye contact during nursing care."
D)"The client's daughter may be abusive."

Question 63

The nurse is caring for the client with a history of anxiety who is experiencing chest pain,palpitations,and dyspnea.Which intervention would be a priority for this client?

A)Providing educational material for the client's medical diagnosis
B)Ordering a regular diet for the client
C)Reassuring the client that symptoms will resolve
D)Asking Respiratory Therapy to set up a mechanical ventilator

Question 64

The most common disorder that increases a client's risk for respiratory alkalosis is:

A)a respiratory disorder.
B)an anxiety disorder.
C)a cardiovascular disorder.
D)a congenital disorder.

Question 65

The client with an anxiety disorder is ready to be discharged from the unit.What should the nurse plan to teach this client and family in preparation for discharge? Select all that apply.

A)Refer the client for counseling.
B)Instruct the client to eat foods high in acid.
C)Teach the client the signs of impending panic attack.
D)Advise the client to breathe into a paper bag when feeling anxious.
E)Instruct the client to breathe slowly.

Question 66

The nurse is evaluating care provided to a client with respiratory alkalosis.Which outcomes indicate that nursing care has been effective for this client? Select all that apply.

A)Respiratory rate 18 and regular
B)Sleeping through the night
C)Gait steady
D)Consistent body weight
E)Using prescribed bronchodilators

Question 67

The nurse is planning care for an older client with respiratory acidosis.Which intervention should the nurse include in this client's plan of care?

A)Administer prescribed intravenous fluids carefully.
B)Administer intravenous sodium bicarbonate.
C)Maintain adequate hydration.
D)Reduce environmental stimuli.

Question 68

A client begins to hyperventilate after learning that a breast biopsy was positive for cancer.After a few minutes,the client loses consciousness.Which action by the nurse is the priority?

A)Begin cardiopulmonary resuscitation.
B)Raise the side rails on the bed.
C)Notify the physician.
D)Insert an intravenous access device.

Question 69

A client with injuries from a motor vehicle crash is intubated for respiratory support.The nurse notes that the client is fighting the ventilator and attempting to pull out the endotracheal tube.What should the nurse do to reduce this client's risk of developing respiratory alkalosis?

A)Administer a sedative as prescribed.
B)Apply wrist restraints.
C)Teach the client to take slow,deep breaths.
D)Discuss removing the endotracheal tube with the healthcare provider.

Question 70

A 2-month-old infant has been diagnosed with pneumonia with respiratory alkalosis.The provider also suspects that the infant is suffering from paresthesias of the hands and feet,because the infant pulls away and cries when his extremities are touched.What client teaching can the nurse provide the parents to comfort the infant with paresthesias?

A)Postural drainage techniques
B)Massage techniques
C)Breastfeeding techniques
D)Swaddling techniques

Question 71

A client with metabolic alkalosis is experiencing numbness around the mouth and tingling of the fingers.What should the nurse explain as the reason for these manifestations?

A)"Because you are breathing so fast,the oxygen is not getting to your nerve endings."
B)"Your health problem affects calcium in your body,which causes the tingling around your mouth and fingers."
C)"You have a buildup of carbon dioxide in your blood."
D)"You don't have enough potassium in your body,so the tingling around your mouth and fingers will occur."

Question 72

Decreased level of consciousness in acute respiratory acidosis is often due to hypercapnia causing:

A)decreased pulse rate.
B)hyperventilation.
C)cerebral vasodilation.
D)neurotransmitter disturbances.

Question 73

Acute respiratory acidosis can lead to ________,which affects neurological function and the cardiovascular system.

A)hypercapnia
B)carbon dioxide narcosis
C)hypoventilation
D)hyperventilation

Question 74

The client is admitted to the emergency department (ED)with symptoms of a panic attack,including hyperventilation.Based on this data,the nurse plans care for which health problem?

A)Hypoventilation
B)Vomiting
C)Respiratory alkalosis
D)Memory loss

Question 75

A client is admitted to the hospital with sudden,severe abdominal pain.The client is diagnosed with respiratory alkalosis.Which arterial blood gas value does the nurse document to support this diagnosis?

A)pH is 7.33 and PaCO₂ is 36.
B)pH is 7.51 and HCO₃ is 30.
C)pH is 7.47 and PaCO₂ is 25.
D)pH is 7.35 and PaO₂ is 88.

Question 76

The nurse is reviewing new orders written for a client experiencing respiratory alkalosis.Which orders would be appropriate for this client's care needs? Select all that apply.

A)Oxygen 2 liters via face mask
B)Restrict fluids to 2 liters per day.
C)Admit to a private room.
D)Infuse 1 ampule of sodium bicarbonate now.
E)Draw arterial blood gases.

Question 77

A client is brought to the emergency department (ED)with rapid breathing after learning of a family member being killed in a house fire.What should the nurse do first to help this client?

A)Coach to slow the breathing.
B)Move to a quiet,calm environment.
C)Provide a sedative.
D)Ask for a psychiatric consultation.

Question 78

The nurse has completed discharge teaching for a client with an anxiety disorder.Which client statement indicates that client teaching about respiratory alkalosis has been effective?

A)"I will see my counselor on a regular basis."
B)"I will breathe faster when I am feeling anxious."
C)"I will eat more bananas at breakfast."
D)"I will not take antacids when I have heartburn."

Question 79

The nurse is planning care for a client who has been admitted to the unit with a salicylate overdose.When preparing the plan of care,the nurse considers which to be a priority nursing diagnosis?

A)Ineffective Breathing Pattern
B)Powerlessness
C)Risk for Injury
D)Impaired Mobility