The nurse has completed discharge teaching for a client with an ...

[maegan_martin]

The nurse has completed discharge teaching for a client with an anxiety disorder. Which client statement indicates that client teaching about respiratory alkalosis has been effective?
 
  A) I will see my counselor on a regular basis.
  B) I will breather faster when I am feeling anxious.
  C) I will eat more bananas at breakfast.
  D) I will not take antacids when I have heartburn.

Question 2

The nurse is preparing care for a client recovering from surgery for colorectal cancer. Which interventions should the nurse use when creating a pain management plan for this client?
 
  Select all that apply.
  A) Provide pain medication upon request.
  B) Assess surgical site for inflammation.
  C) Assess bowel sounds.
  D) Administer pain medication after painful procedures.
  E) Instruct to use a pillow to splint when deep breathing and coughing.

[CourtneyCNorton]

Answer to Question 1

Answer: A

The client understands that reducing anxiety can reduce hyperventilation and respiratory alkalosis. Seeing a counselor can help the client develop alternative strategies for dealing with anxiety. Eating bananas is more appropriate for the client at risk for metabolic alkalosis who is on diuretics. Breathing faster will increase hyperventilation. Taking too many antacids is associated with metabolic alkalosis.

Answer to Question 2

Answer: B, C, E

Pain level should be routinely assessed and pain medication should be provided based upon the assessment and not only when the client requests medication for pain. The surgical site should be routinely assessed for inflammation as a potential source of pain. Bowel sounds should be assessed, as a paralytic ileus could cause an increase in pain. Pain medication should be provided before painful procedures. The client should be instructed to use a pillow to splint the incision when deep breathing and coughing.

[maegan_martin]

Excellent

[Joy Chen]

TYSM