A 75-year-old woman comes into the clinic with
complaints of muscle twitching, nausea, and headache. She tells the nurse that she has been taking sodium bicarbonate five or six times a day for the past 3 weeks. The nurse will assess for which potential problem that may occur with overuse of sodium bicarbonate?
a. Constipation
b. Metabolic acidosis
c. Metabolic alkalosis
d. Excessive gastric mucus
ANS: C
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The nurse is instructing a new patient on the benefits of exercise. She would include which of the following in providing the most current recommendations for older adults?
a. the emphasis is on being more physically active rather than a narrow adherence to a rigid exercise regimen b. older adults should exercise one solid hour per day to achieve benefits c. research has shown that older adults need to burn more calories than younger adults in order to obtain cardiac benefit from exercise d. all of the above are true
After the anesthesiologist inserts the anesthetic agent into the patient's spinal column, the nurse assists the patient into a supine position with the neck flexed. What is the rationale for the nurse's action?
1. This position allows for better monitoring of the patient's blood pressure and pulse. 2. Positioning can help the anesthetic agent reach the appropriate level in the spinal column. 3. This position helps to ensure the patient's cardiac function will not be affected by the anesthesia. 4. The patient will be able to breathe more easily in this position.
A client has just been transferred to a new facility from another hospital at his insistence. The client is demanding a second opinion because he feels that "They must have made a mistake."
The nurse recognizes that the best communication technique to use with this client is to a. clarify the client's response. b. reflect the client's behavior. c. summarize the client's behavior. d. acknowledge the client's feelings.
During the first hour after delivery, vital signs should be taken every _____ minutes
a. 5 b. 15 c. 30 d. 45