A client with severe metabolic alkalosis has been admitted to the unit and is being cared for by a nursing student along with the nurse. Which of the following does the nurse tell the student is a priority treatment for this client?
1. Determining the underlying cause of the metabolic alkalosis
2. Administering medication for metabolic alkalosis
3. Teaching the client the risk factors for metabolic alkalosis
4. Setting goals for the client with metabolic alkalosis
1. Determining the underlying cause of the metabolic alkalosis
Rationale:
Metabolic alkalosis rarely occurs as a primary disorder and the priority would be to determine the underlying cause of the problem. Administering medications will be needed as a treatment, but the priority is to discover the cause. Teaching the client and setting goals are important aspects of nursing care but are not the priority.
You might also like to view...
Which of the following is the intention of an affective touch in the context of nursing?
A) To demonstrate concern B) To provide contact for performing procedures C) To encourage verbal communication D) To provide brief periods for response
Which statement illustrates an example of a type of diagnosis amenable to a nursing inter-vention?
A. Potential complication: hemorrhage B. Pattern of acute nausea and vomiting C. Ineffective breathing pattern D. Acute complication: sepsis
A married woman being seen in the clinic has symptoms of a sexually transmitted infection (STI). The best action by the nurse is to
a. ask the woman whether she feels safe to leave the clinic now. b. find out whether the woman is cheating on her husband. c. gently suggest that she ask her husband whether he is cheating. d. teach how STIs are transmitted and can be prevented.
The nurse is assessing an adolescent client whose weight is in the 5th percentile. Based on this information, which question is most appropriate for the nurse to ask the adolescent client?
1. "Do you eat the school lunches?" 2. "Do you have any concerns about your weight?" 3. "Do you eat fruits, vegetables, and drink milk?" 4. "How many meals do you eat each day?"