When managing a client with a history of respiratory alkalosis, which manifestation should be monitored?

In the context of managing a client with a history of respiratory alkalosis, it is crucial to monitor for manifestations that are indicative of the condition's physiological effects. Respiratory alkalosis occurs when there is a decrease in carbon dioxide levels in the blood, typically due to hyperventilation. As a result, the body may experience a range of symptoms as it adapts to these changes, including effects on muscle and nerve function.

Hyporeflexia, or decreased reflexes, is an important manifestation to watch for in patients with respiratory alkalosis. The condition leads to a decrease in the concentration of ions such as calcium in the blood, which can impair nerve and muscle function, subsequently decreasing reflex responses. Monitoring for hyporeflexia is essential as it helps in assessing the neuromuscular state of the patient and indicates that the respiratory alkalosis may be significantly affecting the body's normal functioning.

While options like bradycardia, increased respiratory rate, and weight gain could indicate other issues, they are not primary manifestations specific to respiratory alkalosis. Increased respiratory rate, for example, is often the cause of respiratory alkalosis rather than a manifestation to be monitored in this context. Weight gain typically does not correlate with respiratory alkalosis and is therefore less relevant