A client has just experienced a 90-second tonic-clonic seizure and has these arterial blood gas values: pH 6.88,HCO₃^- 22 mEq/L,PCO₂ 60 mm Hg,PO₂ 50 mm Hg.Which intervention by the nurse is most appropriate?

Question

Quizplus · Accepted Answer

The client has experienced a combination of metabolic and acute respiratory acidosis through heavy skeletal muscle contractions and no gas exchange.When the seizures have stopped and the client can breathe again,the fastest way to return to acid-base balance is to administer oxygen.Sodium bicarbonate should not be administered because the client's arterial bicarbonate level is normal.Applying a paper bag over the client's nose and mouth would worsen the acidosis.

A Client Has Just Experienced a 90-Second Tonic-Clonic Seizure and Has