The nurse is planning care for an older client with respiratory acidosis. Which intervention should the nurse include in this client's plan of care?
A) Administer prescribed intravenous fluids carefully.
B) Administer intravenous sodium bicarbonate.
C) Maintain adequate hydration.
D) Reduce environmental stimuli.
Answer: C
In respiratory acidosis, there are a drop in the blood pH, reduced level of oxygen, and retaining of carbon dioxide. The body needs to be well-hydrated so that pulmonary secretions can be removed to improve oxygenation. Careful administration of intravenous fluids is important in the older client with metabolic alkalosis because older clients are at risk because of their fragile fluid and electrolyte status. Sodium bicarbonate is indicated in the treatment of metabolic acidosis. Reducing environmental stimuli would be appropriate for the client with respiratory alkalosis.
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A client admitted to the ED exhibits raccoon eyes and Battle's sign. The nurse interprets that these manifestations are compatible with
a. basilar skull fracture. b. extreme fatigue and sensory deprivation. c. opiate overdose or poisoning. d. subarachnoid hemorrhage.
Which of the following is true about the relationship between physicians and nurses?
a. Only the physician is responsible for fostering good physician-client communication. b. The physician and nurse should not engage in open dialogue. c. The relationship between the physician and the nurse remains an evolving process. d. Few nurses encounter problems in the physician-nurse relationship.
Families are subject to the tensions produced when stressors (family problems) penetrate their defense system. The family assessment model that uses this systems approach is called:
1. Family Assessment Intervention Model 2. Friedman Family Assessment Model 3. Genogram 4. Ecomap