Sherpath: Acid-Base Regulation: Implement and Take Action; Evaluate

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Question 1 of 6

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Which intervention would the nurse include in the plan of care for a patient experiencing respiratory alkalosis?

    • Restricting fluidsFluid restriction is more appropriate for a patient who is experiencing respiratory acidosis with pulmonary edema, not respiratory alkalosis.
    • Administering bicarbonateAdministering bicarbonate is appropriate for a patient who is experiencing respiratory acidosis, not respiratory alkalosis. Bicarbonate would worsen alkalosis.
    • Administering antihypertensivesAdministering antihypertensives is appropriate for a patient who is experiencing respiratory acidosis with pulmonary edema or heart failure, not respiratory alkalosis.
  • Correct
    • Having the patient breathe into a paper bagBreathing into a paper bag is an appropriate intervention for a patient who is experiencing respiratory alkalosis. This is because the paper bag contains a higher amount of carbon dioxide and may help increase the PaCO2 level and restore the pH to normal levels.

Question 2 of 6

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Which members of the health care team would the nurse include when planning a collaborative care conference about the acute phase of any acid-base imbalance?

    • Unlicensed assistive personnelUnlicensed assistive personnel are not a part of the health care team who would participate in a collaborative care conference during the acute phase of an acid-base imbalance. Although unlicensed assistive personnel do have a role in care of all patients, they would not be part of the collaborative care conference.
    • Physical therapistThe physical therapist is not a member of the health care team who would participate in a collaborative care conference during the acute phase of an acid-base imbalance, but would be working with patients on a more chronic basis. Patients must be stable to undergo therapy, which is not the case in the acute phase of an acid-base imbalance.
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    • Health care providerThe health care provider is an essential member of the collaborative health care team who will be involved in providing patient care during the acute phase of an acid-base imbalance.
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    • Respiratory therapistThe respiratory therapist is an essential member of the collaborative health care team who will be involved with providing patient care during the acute phase of an acid-base imbalance.
    • Occupational therapistThe occupational therapist is not a member of the health care team who would participate in a collaborative care conference during the acute phase of an acid-base imbalance, but would be working with patients on a more chronic basis. Patients must be stable to undergo therapy, which is not the case in the acute phase of an acid-base imbalance.

Question 3 of 6

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Which interventions would the nurse independently implement for a patient experiencing respiratory acidosis?

    • Increasing the rate of IV fluid administrationThe nurse would require a prescription to increase the rate of fluid administration.
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    • Encouraging deep breathing exercisesThe nurse can independently encourage the patient to complete deep breathing exercises.
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    • Monitoring breath soundsThe nurse would monitor the patient’s breath sounds because of the current respiratory status.
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    • Providing emotional supportThe nurse would provide emotional support for the patient who is experiencing an acid-base imbalance.
    • Administering a prescribed narcoticAlthough the nurse can administer a prescribed narcotic, this is not appropriate as it would further compromise the patient’s respiratory status and acid-base imbalance.

Question 4 of 6

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Which interventions would the nurse anticipate when caring for a patient experiencing metabolic alkalosis?

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    • Administering potassiumPotassium is an appropriate intervention to treat hypokalemia associated with metabolic alkalosis.
    • Administering insulinAdministering insulin is an appropriate intervention for patients with metabolic acidosis, not metabolic alkalosis.
  • Correct
    • Implementing seizure precautionsImplementing seizure precautions is an appropriate intervention for patients with metabolic alkalosis.
    • Administering sodium bicarbonateAdministering sodium bicarbonate is commonly required in the treatment of metabolic acidosis to assist with restoring low pH levels to normal.
    • Administering diureticsAdministering diuretics is an appropriate intervention for respiratory acidosis with pulmonary edema, not metabolic alkalosis.

Question 5 of 6

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The nurse is caring for a patient admitted with metabolic alkalosis. Which intervention would the nurse anticipate when providing care to this patient?

    • Preparing for mechanical ventilationPreparing for mechanical ventilation is a nursing action appropriate when providing care for a patient experiencing metabolic acidosis, not alkalosis.
    • Administering the prescribed sodium bicarbonateAdministering prescribed sodium bicarbonate is a nursing action appropriate when providing care for a patient experiencing metabolic acidosis, not alkalosis.
  • Correct
    • Implementing seizure precautionsPatients who are experiencing metabolic alkalosis are at risk for seizure activity. Therefore implementing seizure precautions is an appropriate intervention when providing care for a patient who is experiencing metabolic alkalosis.
    • Holding foods rich in potassiumHolding foods rich in potassium is not an appropriate intervention when providing care for a patient experiencing metabolic alkalosis. Hypokalemia is often associated with this diagnosis; therefore potassium supplements are often required.

Question 6 of 6

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Which intervention would the nurse anticipate when caring for a patient experiencing metabolic acidosis?

    • Administering antibioticsAntibiotics may be appropriate in the management of respiratory alkalosis, not metabolic acidosis.
    • Implementing seizure precautionsImplementing seizure precautions is an appropriate intervention for patients with metabolic alkalosis, not acidosis.
    • Providing incentive spirometryIncentive spirometry is appropriate in the management of patients with respiratory acidosis, not metabolic acidosis.
  • Correct
    • Providing mechanical ventilationMechanical ventilation is an appropriate intervention to treat patients with metabolic acidosis.