How does prolonged fever contribute to acid-base imbalances?
A. Fever alone does not cause acid-base imbalances; rather, the conditions causing the fever are responsible for various types of imbalances.
B. Prolonged fever induces dehydration and hyperkalemia, resulting in a compensa-tory movement of hydrogen ions and metabolic alkalosis.
C. Fever increases the rate of metabolism, causing a metabolic acidosis by increasing the rate of carbon dioxide production.
D. Fever dries the pulmonary mucous membranes, impairing gas exchange and causing a respiratory alkalosis.
C
Increased body temperature is associated with hypermetabolism and increases the rate at which carbon dioxide is produced.
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The nurse is providing education for a client with adrenal insufficiency about the anatomy and function of the adrenal glands. Which statements will the nurse include in the material? Select all that apply.
A) "The outer layer of the adrenal gland is referred to as the zona reticularis." B) "The adrenal gland's inner layer is responsible for the production of adrenaline." C) "The adrenal cortex layers include the zona glomerulosa, zona fasciculata, and zona reticularis." D) "The zona glomerulosa is responsible for the production of aldosterone." E) "The adrenal gland produces cortisol, which increases gluconeogenesis."
The nurse prioritizes which intervention in a client with xerostomia secondary to radiation therapy to the neck area?
a. Applying lotions and oils to affected areas b. Wearing a hat to decrease heat loss c. Providing oral care after meals and at bedtime d. Monitoring vital signs every 4 hours
When blood glucose levels are difficult to control in type 2 diabetes some form of insulin may be added to the treatment regimen to control blood glucose and limit complication risks. Which of the following statements is accurate based on research?
1. Premixed insulin analogues are better at lowering HbA1C and have less risk for hypoglycemia. 2. Premixed insulin analogues and the newer premixed insulins are associated with more weight gain than the oral antidiabetic agents. 3. Newer premixed insulins are better at lowering HbA1C and postprandial glucose levels than long-acting insulins. 4. Patients who are not controlled on oral agents and have postprandial hyperglycemia can have neutral protamine Hagedorn insulin added at bedtime.
Which are advantages of using an Electronic Medical Record System (EMR) for medication administration to children? Select all that apply
a. Eliminates the need to perform the six rights of medication administration b. Reduces medication errors c. Is a cost effective means of medication ad-ministration d. Improves communication of patient medication lists e. Improves communication of patient allergies