The triage nurse notes upon assessment in the emergency room that the patient with anxiety is hyperventilating. The nurse is aware that hyperventilation is the most common cause of which acid-base imbalance?
A) Respiratory acidosis
B) Respiratory alkalosis
C) Increased PaCO2
D) Central nervous system (CNS) disturbances
Ans: B
Feedback: The most common cause of acute respiratory alkalosis is hyperventilation. Extreme
anxiety can lead to hyperventilation.
You might also like to view...
A patient with cystic fibrosis takes pancreatic enzyme replacements on a regular basis. The patient's intake of trypsin facilitates what aspect of GI function?
A) Vitamin D synthesis B) Digestion of fats C) Maintenance of peristalsis D) Digestion of proteins
The nurse is teaching a patient with a new diagnosis of hypothyroidism. The patient is anxious and fears gaining weight with this condition. Which of the following would help this patient's learning process?
a. Allow the patient to go home and read the information. b. Let the patient watch television for 2 hours before teaching. c. Give the teaching sessions in a systematic manner. d. Only tell the patient what he wants to hear.
A patient is wheezing and short of breath. The nurse assesses a heart rate of 88 beats per minute, a respiratory rate of 24 breaths per minute, and a blood pressure of 124/78 mm Hg. The prescriber orders a nonspecific beta agonist medication
Besides evaluating the patient for a reduction in respiratory distress, the nurse will monitor for which side effect? a. Hypotension b. Tachycardia c. Tachypnea d. Urinary retention
A 1-year-old child receives the MMR vaccine. The next day the child's parent calls the nurse to report that the child has a temperature of 103°F. What will the nurse do?
a. File an adverse event report with the Vac-cine Adverse Event Reporting System (VAERS). b. Notify the child's provider that thrombo-cytopenia is likely to occur. c. Reassure the parent that fever can occur with the MMR vaccine. d. Tell the parent to take the child to the emergency department.