The nurse is reviewing new orders written for a client experiencing respiratory alkalosis. Which orders would be appropriate for this client's care needs?
Select all that apply.
A) Oxygen 2 liters via face mask
B) Restrict fluids to 2 liters per day.
C) Admit to a private room.
D) Infuse 1 ampule of sodium bicarbonate now.
E) Draw arterial blood gases.
Answer: C, E
The client has respiratory alkalosis, which is caused by hyperventilation. Additional oxygen is not required. A fluid restriction is not required in the treatment of respiratory alkalosis. Management of respiratory alkalosis focuses on correcting the imbalance and treating the underlying cause. It is important to create a calm, quiet, low-stimulation environment to reduce the client's anxiety or panic. Sodium bicarbonate is used in the treatment of respiratory and metabolic acidosis. Arterial blood gases must be ordered prior to beginning medication or oxygen therapy.
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What will be an ideal response?