A client begins rapid breathing and demonstrates anxiety after learning of a diagnosis of breast cancer. After a short while, the client complains of tingling lips and fingers. Which of the following should the nurse do to assist this client?
1. Provide oxygen.
2. Coach the client in the use of an incentive spirometer.
3. Help the client slow the respiratory rate or breathe into a paper bag.
4. Administer intravenous fluids.
3
With the client's rapid respirations, too much carbon dioxide is being excreted. This leads to alkalosis. Symptoms of respiratory alkalosis include tingling of the lips and fingers. If the client is unable to control the respiratory rate, the nurse may have the client breathe into a paper bag, which forces the rebreathing of carbon dioxide. Providing oxygen, using an incentive spirometer, and intravenous fluids is not going to help correct the client's rapid respiratory rate and respiratory alkalosis.
You might also like to view...
A nurse manager to the OB unit is having issues with a staff nurse who is rude to clients. In the past year the OB staff have complained to the manager regarding this staff nurse?s rudeness to clients
Other departments have also filed similar complaints. The manager pulls the staff nurse?s employee file and finds last year?s appraisal as exceptional. What course of action should the manager take with this nurse? 1. Terminate the staff nurse immediately. 2. Notify nursing administration of the issues and complaints. 3. Instruct the OB staff nurses to maintain a log of the nurse?s behavior. 4. Document the issues, confer with the staff nurse, and provide a plan of action.
Forty-eight hours after a patient sustained a fractured femur in a car accident, the nurse assessed a pulse of 110, respirations at 25, and labored crackles in both lung fields. The nurse immediately reports to the charge nurse the probability of a(n):
a. impending pneumonia. b. atelectasis. c. fat embolism. d. anxiety attack.
The nurse is conducting a morning assessment of an older adult patient who has a history of peripheral artery disease. When palpating the patient's dorsalis pedis pulse, the nurse should:
A) Palpate the pulses using the pads of his or her thumbs B) Thoroughly assess the right foot and then assess the left foot C) Palpate both of the patient's feet simultaneously D) Place his or her index finger on both of the patient's feet
A nurse teaches a client with type 2 diabetes mellitus who is prescribed glipizide (Glucotrol). Which statement should the nurse include in this client's teaching?
a. "Change positions slowly when you get out of bed." b. "Avoid taking nonsteroidal anti-inflammatory drugs (NSAIDs)." c. "If you miss a dose of this drug, you can double the next dose." d. "Discontinue the medication if you develop a urinary infection."