The nurse learns that a postoperative patient's nasogastric drainage was 500 cc during the past 8 hours. The nurse is concerned that the patient is at risk for developing
1. metabolic alkalosis.
2. respiratory alkalosis.
3. metabolic acidosis.
4. respiratory acidosis.
1
Rationale: The loss of gastric fluid from nasogastric suction can result in metabolic alkalosis. Loss of body fluids from lower abdominal drains would result in loss of bicarbonate and produce metabolic acidosis. There is no indication of any respiratory system involvement.
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Family members of an immunocompromised patient have asked the nurse why antibiotics are not being given to the patient in order to prevent infection. How should the nurse best respond?
A) "Using antibiotics to prevent infections can cause the growth of drug-resistant bacteria." B) "If an antibiotic is given to prevent a bacterial infection, the patient is at risk of a viral infection." C) "Antibiotics can never prevent an infection; they can only cure an infection that is fully developed." D) "Antibiotics cannot resolve infections in people who are immunocompromised."
According to Tanner's sexual maturity rating for female breast development, the normal breast development in an adolescent female occurring after 10 years of age is characterized initially by a(n)
a. small mound of breast tissue with widening of the areola. b. enlarged breast. c. small, elevated nipple. d. areola flush with the breast contour with a protruding nipple.
A patient being treated with isoniazid for tuberculosis develops symptoms of systemic lupus erythematosus (SLE). The patient says, "I can't believe that I am so sick. First I get TB and now this. What is going to happen to me?" What nursing response is indicated?
1. "You will have to learn to manage both the TB and the SLE." 2. "Once your TB is cured, we can help you fight the SLE." 3. "Often the SLE symptoms go away after the TB medication is changed." 4. "Your immune system must be under a great deal of stress for both of these diseases to develop."
"Lazarus's coping paradigm suggests that it is the appraisal of a stressor as potentially harmful that begins the avoidance cascade
Thomason further characterized adaptations to management of chemotherapy symptomatology as mere reflections of a primary appraisal of potential harm, providing a set point for intensity of reactions. We used these conceptual connections to formulate testable assumptions for this study." Where in the research report would this quotation be located? a. Introduction b. Methods c. Results d. Discussion