What intervention will the nurse apply in the plan of care


Problem

A nurse is caring for a client experiencing excessive vomiting. The nurse receives the arterial blood gas analysis of pH 7.55, PaCO2 40 mm Hg (5,32 kPa), PaO2 102 mm Hg (13.57 kPa), HCO3 39 mEq/L (39 mmol/L). What intervention(s) will the nurse apply in the plan of care? Select all that apply.

a) Encourage client to breathe into a closed container.
b) Monitor vital signs frequently.
c) Administer intravenous fluids containing potassium salts.
d) Assess for cardiac dysrhythmias.
e) Assess neurological status.

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