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Which of the following signs is most commonly associated with respiratory alkalosis?

A.

Muscle weakness and confusion

B.

Decreased deep tendon reflexes and hypotension

C.

Bradycardia and decreased respiratory rate

D.

Rapid, shallow breathing and feelings of panic

Answer and Explanation

The Correct Answer is D

A. Muscle weakness and confusion are more commonly associated with metabolic or mixed acid-base disturbances rather than respiratory alkalosis specifically.  

 

B. Decreased deep tendon reflexes and hypotension are not typical signs of respiratory alkalosis, which usually involves changes in breathing patterns.  

 

C. Bradycardia and decreased respiratory rate are more likely associated with respiratory acidosis or other conditions, not with respiratory alkalosis.  

 

D. Rapid, shallow breathing, often due to anxiety or panic attacks, is characteristic of respiratory alkalosis. Patients may also report feelings of panic due to the hyperventilation that leads to this condition.


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Correct Answer is C

Explanation

A. Pneumocystis lung infection is an opportunistic infection that typically occurs in later stages of HIV/AIDS when the immune system is significantly weakened, not during the initial phase of infection.

B. Fungal and bacterial infections are also associated with advanced HIV/AIDS due to immunosuppression and not seen in the initial phase of infection.

C. Flu-like symptoms and night sweats are common initial symptoms of HIV infection, often occurring 2-4 weeks after exposure during the acute retroviral syndrome phase.

D. Kaposi's sarcoma is a cancer associated with advanced HIV/AIDS and does not manifest during the initial symptoms of infection.

Correct Answer is D

Explanation

A. Increasing the infusion rate may exacerbate the patient's symptoms and does not address the potential toxicity from the furosemide.

B. Normal potassium levels indicate that potassium supplementation is unnecessary and does not address the dizziness and ringing in the ears, which could suggest ototoxicity from furosemide.

C. While reassurance can help, the patient's symptoms indicate a potential adverse reaction to the medication that should not be ignored.

D. Stopping the furosemide infusion and notifying the provider is the most appropriate action due to the risk of ototoxicity and the need for further evaluation of the patient's symptoms.

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