The nurse caring for a client in shock who is being mechanically hyperventilated explains that the rationale for this intervention is to
a. decrease carbon dioxide levels in the blood.
b. prevent atelectasis and respiratory failure.
c. rest the client to decrease metabolism.
d. stimulate endorphin production.
A
By increasing the rate of pulmonary ventilation (through spontaneous or mechanical hyperventi-lation), it is possible to compensate for minor degrees of metabolic acidosis. This increased "blowing off" of carbon dioxide with hyperventilation begins to compensate for acid-base im-balance.
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The best response for the nurse to make would be a. "Nothing you are saying is clear.". b. "Your thoughts are very disconnected.". c. "Try to organize your thoughts and then tell me again.". d. "I am having difficulty understanding what you are saying.".
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A nurse is conducting an environmental assessment as part of a family assessment. Which of the following would the nurse assess?
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