A client is having episodes of hyperventilation related to her surgery that is scheduled tomorrow. Appropriate nursing actions to help control hyperventilating include:
A.
Administering diazepam (Valium) 10–15 mg po q4h and q1h prn for hyperventilating episode
B.
Keeping the temperature in the client’s room at a high level to reduce respiratory stimulation
C.
Having the client hold her breath or breathe into a paper bag when hyperventilation episodes occur
D.
Using distraction to help control the client’s hyperventilation episodes
(A) An adult diazepam dosage for treatment of anxiety is 2–10 mg PO 2–4 times daily. The order as written would place a client at risk for overdose. (B) A high room temperature could increase hyperventilating episodes by stimulating the respiratory system. (C) Breath holding and breathing into a paper bag may be useful in controlling hyperventilation. Both measures increase CO2 retention. (D) Distraction will not prevent or control hyperventilation caused by anxiety or fear.
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