Which client is at greatest risk for the development of metabolic acidosis?

A. 56-year-old man with chronic asthma
B. 36-year-old man hiking in the Canadian Rockies
C. 36-year-old woman on a carbohydrate-free diet
D. 56-year-old woman self-medicating with sodium bicarbonate for gastroesophageal reflux


C
One cause of acidosis is a strict, low-calorie diet or one that is low in carbohydrate content. Such a diet increases the rate of fat catabolism and results in the formation of excessive ketoacids.

Nursing

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What characteristics would cause the manager to classify an employee as marginal? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply

1. The employee works only when client census calls for additional staff. 2. The employee's work does not improve with coaching. 3. The employee just made an error for which discipline has already been done twice. 4. The employee has worked at the facility for less than 1 month. 5. The employee does not mix well with the other staff, but stays on the margins of the group.

Nursing

A nurse is assessing the abdomen of a patient just admitted to the unit with a suspected GI disease. Inspection reveals several diverse lesions on the patient's abdomen. How should the nurse best interpret this assessment finding?

A) Abdominal lesions are usually due to age-related skin changes. B) Integumentary diseases often cause GI disorders. C) GI diseases often produce skin changes. D) The patient needs to be assessed for self-harm.

Nursing

A nurse is evaluating an established plan of care. After identifying the evaluative criteria and standards (expected patient outcomes), what must the nurse do next?

A) Interpret and summarize findings. C) Collect data about patient responses. B) Document his or her judgment. D) Formulate a new plan of care.

Nursing

A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor?

a. First b. Second c. Third d. Fourth

Nursing