You are caring for a client who has had COPD exacerbation and is feeling out of...

You are caring for a client who has had COPD exacerbation and is feeling out of sorts. You find among other things, they are dealing with respiratory acidosis. How would you assist the client to manage their discomfort associated with the symptoms of this type of acid-base imbalance? And how will you enhance the care you recommend in your answer to the first question using client-centered care strategies?

Expert Solution

Respiratory acidosis is a condition that occurs when the lungs cannot remove all of the carbon dioxide the body produces. This causes body fluids, especially the blood, to become too acidic.

Treatment is aimed at the underlying disease, and may include:

Bronchodilator medicines and corticosteroids to reverse some types of airway obstruction

Noninvasive positive-pressure ventilation (sometimes called CPAP or BiPAP) or a breathing machine, if needed

Oxygen if the blood oxygen level is low

Treatment to stop smoking

For severe cases, a breathing machine might be needed

The management of chronic respiratory acidosis focuses on treating the underlying illness that disrupts the breathing process and exchange of gases.

A doctor may also give treatments to improve respiration, including drugs that help open the passages to the lungs.

In acute respiratory acidosis, doctors can provide noninvasive positive-pressure ventilation, called Bi-PAP, through a facemask. This directly assists breathing.

In more severe conditions, a doctor improves respiration by inserting a tube into the airway for mechanical ventilation

Nightingale answered 1 year ago

The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving...

The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving supplemental oxygen and should intervene if which delivery device is being used by the client? Select one: a. Nasal cannula b. Continuous positive airway pressure (CPAP) c. Bilevel positive airway pressure (BiPAP) d. Venturi face mask

The client is an elderly man admitted for a COPD exacerbation. He appears cachectic and is...

The client is an elderly man admitted for a COPD exacerbation. He appears cachectic and is having difficulty breathing at rest. He reports cough productive of thick yellow-green sputum. His vital signs are: T 102 F, P 124, RR 36, BP 162/84, SpO2 88% on room air. Identify the primary nursing goal at this time and discuss 3 priorities for nursing care and explain the rationale for each. Develop a teaching plan for the use of a metered dose inhaler...

A nurse is caring for a client who has a traumatic brain injury. The client, who...

A nurse is caring for a client who has a traumatic brain injury. The client, who has been quiet and cooperative, becomes agitated and restless. Which of the following assessments should the nurse perform first? a. Blood glucose b. Urinary output c. Motor responses d. Blood pressure

You are the nurse caring for a patient who was prescribed IV Solu-Medrol (corticosteroid) for exacerbation...

You are the nurse caring for a patient who was prescribed IV Solu-Medrol (corticosteroid) for exacerbation of COPD. In developing your teaching plan, you recognize that which of the following is a side effect of this medication? Insomnia Hyponatremia Hypoglycemia Hypercalcemia

The nurse is caring for a client who just had a cardiac catheterization 2 hours ego....

The nurse is caring for a client who just had a cardiac catheterization 2 hours ego. Which of the following findings would require immediate follow up

A nurse is caring for a client who has a drainage evacuator. Which of the following...

A nurse is caring for a client who has a drainage evacuator. Which of the following is an appropriate action by the nurse? A. Discontinue the drainage system when it becomes full. B. Ensure the drainage suction is set on high pressure. C. Measure drainage by emptying into a graduated cylinder. D. Check the volume of the drainage every 24 hours.

A nurse is caring for a client in crisis who has endured a physical assault. The...

A nurse is caring for a client in crisis who has endured a physical assault. The nurse would expect to see which behavior associate with the integration phase of crisis?

The nurse is caring for a client who has been admitted to the emergency room with...

The nurse is caring for a client who has been admitted to the emergency room with generalized weakness, particularly on her left side, with a left-sided facial droop, aphasia, numbness, and tingling in her left arm which started two days ago. Pupils are minimally reactive and constricted bilaterally. She does not follow commands. Lower extremities have + 1 pitting edema bilaterally. The client is transferred to the neuro floor but will be discharged home with her son. Using the Situation...

2. A nurse is caring for a client who has a traumatic injury to the right...

2. A nurse is caring for a client who has a traumatic injury to the right ankle. The client has an unstable fracture with only a temporary splint in place. The client is having increased pain that is unresolved with IV narcotics and has 4+ edema, pallor, and pulselessness of the right foot. What should the nurse suspect, and what interventions should be taken?

A nurse is caring for a client who has schizophrenia and is experiencing delusions. Which of...

A nurse is caring for a client who has schizophrenia and is experiencing delusions. Which of the following actions should the nurse take? Encourage the client to rest quietly in bed twice per day Direct long conversations about the delusions toward reality-based topics. Avoid assessing client’s delusions Allow the client unlimited time to discuss the delusions when they occur.

Question