A client has acute pancreatitis and a risk for acid-base imbalance. The nurse plans to assess for which manifestation consistent with this condition?
a. Agitation
b. Kussmaul respirations
c. Seizures
d. Positive Chvostek's sign
B
The pancreas is a major site of bicarbonate production. Pancreatitis can cause a relative metabolic acidosis through underproduction of bicarbonate ions. Manifestations of acidosis include lethargy and Kussmaul respirations. Agitation, seizures, and a positive Chvostek's sign are manifestations of the electrolyte imbalances that accompany alkalosis.
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A patient arrives in the emergency department for chest pain, lightheadedness, and shortness of breath (SOB). The cardiac monitor shows sinus rhythm with the presence of multifocal PVCs. Which order would the nurse question?
1. Oxygen at 4 L/min via nasal cannula 2. Morphine sulfate 2 mg IV 3. Atropine 0.5 mg IV 4. Amiodarone 300 mg IV
The passage of Medicare and Medicaid legislation was a major change to the U.S. health care system. Besides helping ensure care for the elderly and the poverty-stricken, what was noteworthy about the passage of this legislation?
A. Decrease in the separation between government funding and private physicians B. Federal intervention into state responsibilities C. Realization by the public that some persons had not been getting care D. First time the federal government had put any money into health care
Place these nursing activities in the correct order of the nursing process.1. The nurse analyzes the data collected.2. The nurse documents the time and route of an administered medication.3. The nurse weighs the client.4. The nurse writes an individualized nursing intervention.5. The nurse changes a nursing intervention that is not working.
Fill in the blank(s) with the appropriate word(s).
The nurse recognizes that anticipatory grieving can be most beneficial to a client or family because it can:
A. Be done in private B. Be discussed with others C. Promote separation of the ill client from the family D. Help a person progress to a healthier emotional state