What is your best response? A client has a nasogastric tube connected to the intermittent wall suction. The student nurse asks why the clients respiratory rate has increased.
A. It’s common for the client's with uncomfortable procedures such as nasogastric tubes to have a higher rate of breathing.” B. The client may have a metabolic alkalosis due to the NG suctioning and the increased respiratory rate is a compensatory mechanism.” C. Whenever a client develops a respiratory acid-base problem, increasing the respiratory rate helps correct the problem.” D. The client is hyperventilating because of anxiety and we will have to stay alert for the development of respiratory acidosis.”
1. The client may have a metabolic alkalosis due to the NG suctioning and the increased respiratory rate is a compensatory mechanism.”
Nasogastric suctioning can result in a decrease in acid components and metabolic alkalosis. The clients increase in rate and depth of ventilation is an attempt to compensate by blowing off CO2. the first response maybe true but does not address all the components of the question. The third and fourth answers are inaccurate.