An anxious client is experiencing respiratory alkalosis from ...

[lracut11]

An anxious client is experiencing respiratory alkalosis from hyperventilation caused by anxiety. The nurse would do which of the following to help the client experiencing this acid-base disor-der?
 
  1. Put the client in a supine position.
  2. Provide emotional support and reassurance.
  3. Withhold all sedative or antianxiety medications.
  4. Tell the client to breathe very deeply but more slowly.

Question 2

A nurse is caring for a hospitalized child who is receiving a continuous infusion of intravenous (IV) potassium for the treatment of dehydration. The nurse monitors the child closely and noti-fies the physician if which of the following is noted?
 
  1. Weight increase of 0.5 kg
  2. Temperature of 100.8 F rectally
  3. Blood pressure (BP) unchanged from baseline
  4. A decrease in urine output to 0.5 mL/kg/hr

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Answer to Question 1

2

Rationale: An anxious client benefits from emotional support and reassurance, which in turn re-duces anxiety and may lower the respiratory rate. The client may benefit from the administration of a sedative or antianxiety medication, if it is prescribed. The client should try to breathe more slowly. Lying supine provides no benefit to the client and may cause problems with breathing.

Answer to Question 2

4

Rationale: The priority assessment is to assess the status of urine output. Potassium should never be administered in the presence of oliguria or anuria. If urine output is less than 1 to 2 mL/kg/hr, potassium should not be administered. A slight elevation in temperature would be expected in a child with dehydration. A weight increase of 0.5 kg is relatively insignificant. A BP that is un-changed is a positive indicator unless the baseline was abnormal. However, there is no infor-mation in the question to support such data.

[lracut11]

TYSM

[raenoj]

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