Extreme anxiety-rationale: extreme anxiety may lead to respiratory alkalosis by causing hyperventilation, which results in excessive carbon dioxide (co2) loss. other conditions that may set the stage for respiratory alkalosis include fever, heart failure, injury to the brains respiratory center, overventilation with a mechanical ventilator, pulmonary embolism, and early salicylate intoxication. type 1 diabetes may lead to diabetic ketoacidosis; the deep, rapid respirations occurring in this disorder (kussmauls respirations) dont cause excessive co2 loss. myasthenia gravis and opioid overdose suppress the respiratory drive, causing co2 retention, not co2 loss; this may lead to respiratory acidosis, not alkalosis.client needs category: physiological integrityclient needs subcategory: physiological adaptationcognitive level: comprehensionreference: smeltzer, s.c., et al. brunner & suddarths textbook of medical-surgical nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 337.