The nurse is caring for a client who has been admitted with metabolic alkalosis. Which of the following data collected during the nursing assessment leads the nurse to conclude that the patient is at risk for this diagnosis?
1. The client takes ibuprophen for pain once a week.
2. The client takes a baby aspirin once daily.
3. The client frequently uses calcium carbonate (Tums®) for acid indigestion.
4. The client takes metformin daily.
3. The client frequently uses calcium carbonate (Tums®) for acid indigestion.
Rationale:
Excessive use of calcium carbonate can cause metabolic alkalosis. Use of ibuprophen and metformin is not associated with alkalosis. Overuse of aspirin can be associated with metabolic acidosis.
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A recent nursing graduate is being oriented to the public health unit in an area with a large number of residents over age 65 . Which of the following statements by the nurse best demonstrates a sound understanding of the older adult population?
A) "Most hospital beds are occupied by older adults.". B) "Older adults are often resistant to preventative health and wellness programs, which did not exist in decades past.". C) "A large majority of older adults will spend at least some time in a nursing home.". D) "Physical ailments become more prevalent with age but mental illnesses are less common in the elderly.".
There are faith-based and parish nurses, there are differences between faith community nursing and parish nursing. What is a parish nurse?
A) Part of the ministry staff of the congregation B) Used in settings where faith community may have no meaning or association C) Serves the health education needs of individual people and families in the faith community. D) Broader roles than faith community nurse
Which nursing entry is most complete in describing a client's wound?
1. Wound appears to be healing well. Dressing dry and intact. 2. Wound well approximated with minimal drainage. 3. Drainage size of quarter; wound pink, 4 × 4s applied. 4. Incisional edges approximated without redness or drainage; two 4 × 4s applied.
The nurse, instructing a group of community members on chronic health problems, explains that the leading cause of blindness in the United States is:
1. glaucoma. 2. cataracts. 3. hypertension. 4. diabetic retinopathy.