Author Question: A client experiencing respiratory alkalosis as a result of asthma is likely to present with which of ... (Read 49 times)

londonang · **on:** Jul 23, 2018

A client experiencing respiratory alkalosis as a result of asthma is likely to present with which of the following clinical signs? (Select all that apply.)

1. A respiratory rate of 36 breaths per minute
2. Complaints of numbness in fingers and toes
3. Dizziness when attempting to sit upright
4. Difficulty holding a cup because of tremors
5. An irregular heartbeat on an electrocardiogram (ECG)
6. Warm, flushed skin

Question 2

A client with partial-thickness burns over 40 of the body is likely to lose body fluid via: (Select all that apply.)

1. Water vapor that is lost through the skin that is burned
2. Plasma and interstitial fluids that are lost as burn exudate
3. Blood leakage via damaged capillaries in the dermis
4. Respiratory acidosis resulting from altered respiratory function
5. Plasma that leaves the intravascular space and becomes trapped in blisters
6. Sodium and water shift that out of the vessels because of increased permeability

kristenb95 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1, 2, 3, 4
Physical examination of a client experiencing respiratory alkalosis may reveal dizziness, confu-sion, dysrhythmias, tachypnea, numbness and tingling of extremities, convulsions, and coma.

Answer to Question 2

ANS: 1, 2, 3, 5, 6
The greater the body surface burned, the greater the fluid loss. The burned client loses body flu-ids by one of five routes. First, plasma leaves the intravascular space and becomes trapped ede-ma. This is also called the plasma-to-interstitial fluid shift. It is accompanied by a loss of serum proteins. Second, plasma and interstitial fluids are lost as burn exudate. Third, water vapor and heat are lost in proportion to the amount of skin that is burned. Fourth, blood leaks from dam-aged capillaries, adding to the intravascular fluid volume loss. Finally, sodium and water shift into the cells, further compromising extracellular fluid volume.