The nurse is reviewing prescriptions written for a client with ...

[Alainaaa8]

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 4 liters per nasal cannula

Question 2

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

[aprice35067]

Answer to Question 1

Answer: D
In clients with chronic respiratory acidosis, oxygen is administered cautiously to prevent carbon dioxide narcosis. Adequate hydration such as intravenous fluids is important to promote removal of respiratory secretions. Pulmonary hygiene measures such as breathing treatments may be instituted.

Answer to Question 2

Answer: A

The client with respiratory acidosis often experiences anxiety. This client would benefit from having a family member in the room to provide reassurance. Restraining the client will increase levels of agitation. The client with respiratory failure would benefit most from the semi-Fowler's or Fowler's position to increase ventilation. Narcotics will depress the respirations and increase respiratory acidosis. A non-narcotic pain reliever would be considered if this client were experiencing pain.

[Alainaaa8]

Excellent

[Kedrick2014]

Thanks for the timely response, appreciate it