The nurse is reviewing new orders written for a client ...

[folubunmi]

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 2

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.

[batool]

Answer to Question 1

Answer: C, E

The client has respiratory alkalosis, which is caused by hyperventilation. Additional oxygen is not required. A fluid restriction is not required in the treatment of respiratory alkalosis. Management of respiratory alkalosis focuses on correcting the imbalance and treating the underlying cause. It is important to create a calm, quiet, low-stimulation environment to reduce the client's anxiety or panic. Sodium bicarbonate is used in the treatment of respiratory and metabolic acidosis. Arterial blood gases must be ordered prior to beginning medication or oxygen therapy.

Answer to Question 2

Answer: A, C, E

Teaching the client to breathe slowly helps the client manage hyperventilation at home. The client with an anxiety disorder should be referred to counseling to assist with management of the disorder and should be taught signs of an impending panic attack. Eating foods high in acid will not counteract the results of hyperventilation. The use of paper bags has been a recommended treatment for hyperventilation; however, it can also cause hypoxia.