The patient has ingested large amounts of narcotics and has a ...

[K@]

The patient has ingested large amounts of narcotics and has a respiratory rate of 8 per minute. Which acid-base disturbance is the patient at risk for?
 
  a. respiratory acidosis c. metabolic acidosis
  b. respiratory alkalosis d. metabolic alkalosis

Question 2

Which is the first step in the guidelines for promoting a caring interview with a patient?
 
  a. observe c. establish rapport
  b. listen attentively d. gather information

[Brenm]

Answer to Question 1

A
Respiratory acidosis is caused by hypoventilation or any condition that depresses ventilation. Hypoventilation can occur in respiratory failure or from drug overdose. Common central nervous system depressants include narcotics, barbiturates, and anesthetic agents. Respiratory alkalosis is caused by hyperventilating. Metabolic acidosis is characterized by an increase in hydrogen ion concentration. Metabolic alkalosis is caused by an increased loss of acid from the body or a gain in base.

Answer to Question 2

C
An interview is a therapeutic interaction that has a specific purpose. The purpose of the assessment interview is to collect information about the patient's health history and current status in order to make determinations about the patient's health needs. Effective interviewing depends on the nurse's knowledge and ability to skillfully elicit information from the patient using appropriate techniques of communication. The patient is more likely to respond freely if the interview environment provides comfort and privacy and if rapport exists between the patient and the nurse.