Answer to Question 1
Answer: B
The nurse should protect the client from injury. If hyperventilation continues to the point where the client loses consciousness, respirations will return to normal, as will acid-base balance. The nurse should ensure for the client's safety and raise the side rails on the bed. The client does not need cardiopulmonary resuscitation. The physician may need to be notified; however, the client's safety is a priority. The client is not critically ill and an intravenous access device is not indicated at this time.
Answer to Question 2
Answer: B
Nursing care is focused on reducing anxiety through manipulation of the environment to reduce stimuli and to create a sense of peace. This restful environment will help the client breathe more slowly and effectively. Once the environment is controlled, the nurse can begin to implement interventions to help the client slow the breathing rate. A sedative may be prescribed; however, this would not be the first intervention. A psychiatric consult might be indicated for someone with a history of anxiety or panic attacks that lead to the development of respiratory alkalosis. Since this client has had a shock, a psychiatric consultation would not be indicated at this time.
Breast.
Metastasis Cancer Order
Good ethical judgment comes from both learning and experience.
Use face cradle covers to prevent the client’s skin from touching the face cradle upholstery.
Testing the client’s ability to feel vibrations, the knee
Cytotoxic T Cell Killing a Cancer Cell