The nurse is developing the plan of care for a patient diagnosed with pneumonia. In order to determine the correct nursing diagnosis, the nurse knows that the respiratory system regulates plasma pH changes by releasing or retaining:
1. CO2..
2. Sodium bicarbonate.
3. Hydrogen ions.
4. H2CO3.
CO2..
Rationale: The respiratory system regulates plasma pH changes by releasing or retaining carbon dioxide (CO2), a potential acid. Sodium bicarbonate, hydrogen ions, and H2CO3 are not released or retained in this process.
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Which of the following is an example of a system check?
1. When a duplicate entry is entered into the system, that entry is immediately deleted. 2. The nurse asks clients to verify their names when prompted by the computer system. 3. After turning on the bedside computer, the system performs a self-check before data will input. 4. Software in the system automatically corrects misspelled words and abbreviations.
What should the nurse do to ensure the validity of comparison of electrocardiograms (ECGs) taken at different times?
A. Remove electrodes after each ECG is completed. B. Place new ECG chest leads on the client before each ECG is completed. C. Position the client supine prior to each ECG. D. Ensure that electrode placement is identical for each ECG.
The nurse is preparing to assess a client's reflexes. Which of the following equipment should the nurse gather before entering the room?
A) Clean gloves B) Percussion hammer C) Sterile gloves D) Penlight
A nurse caring for an elderly client who has had surgery and is in the hospital knows that the cli-ent is at high risk for developing a nosocomial infection
One of the most important things that the nurse can do to prevent this client from obtaining a nosocomial infection is to: 1. Practice appropriate hand hygiene 2. Request prophylactic antibiotics for the client 3. Place the client in isolation 4. Encourage the client to turn, cough and deep breath every 2 hours