An intestinal obstruction at the pylorus or high in the small intestine causes metabolic alkalosis by causing which outcome?
a. Gain of bicarbonate from pancreatic secretions that cannot be absorbed
b. Excessive loss of hydrogen ions normally absorbed from gastric juices
c. Excessive loss of potassium, promoting atony of the intestinal wall
d. Loss of bile acid secretions that cannot be absorbed
Ans: b. Excessive loss of hydrogen ions normally absorbed from gastric juices
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The best way to tell a family of a patient death is to say
A) "John has died." B) "John has passed on." C) "John has gone on to a better place." D) "John is no longer with us."
A patient with a T2 injury is in spinal shock. The nurse will expect to observe what assessment finding?
A) Absence of reflexes along with flaccid extremities B) Positive Babinski's reflex along with spastic extremities C) Hyperreflexia along with spastic extremities D) Spasticity of all four extremities
The nurse is teaching a patient in the first trimester of pregnancy about the importance of folic acid in the diet and how folic acid supplements might be beneficial. For which reason is the nurse teaching the patient about this vitamin?
A) Maintains energy throughout the pregnancy B) Controls the risk of hypertension while pregnant C) Prevents neural tube disorders in the developing fetus D) Sustains a slow and steady weight gain while pregnant
When discussing discipline with the mother of a 4-year-old child, the nurse should include which instruction?
a. Children as young as 4 years old rarely need to be punished. b. Parental control should be consistent. c. Withdrawal of love and approval is effective at this age. d. One should expect rules to be followed rigidly and unquestioningly.