A nurse is stuck in the elevator with an anxious patient who fears that no one will know they are stuck, even though the nurse has pushed the emergency button. The patient becomes hysterical, with respirations of 48/minute
The nurse attempts to reassure the patient, but the patient is in-consolable. The nurse should anticipate the patient will manifest symptoms of which of the fol-lowing acid-base alterations? a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Metabolic alkalosis
B
A patient having a panic attack will hyperventilate, blowing off carbon dioxide, and develop res-piratory alkalosis.
Respiratory acidosis most often results from hypoventilation.
Metabolic acidosis often results from diarrhea.
Metabolic alkalosis most often results from vomiting.
NOTE: Respiratory alkalosis can be compensated for by metabolic acidosis; respiratory acidosis by metabolic alkalosis; metabolic acidosis by respiratory alkalosis; and metabolic alkalosis by respiratory acidosis.
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A patient involved in a snowmobile accident struck a tree and sustained a fractured vertebra at C4 . She demonstrates signs of ischemic areas near the injury, along with hypoperfusion, microscopic hemorrhage, and edema
The nurse observes signs of concussion, including loss of consciousness. Which of the following are considered secondary injuries? Select all that apply. A) Fractured vertebra B) Cord ischemia C) Hypoperfusion D) Microscopic hemorrhage E) Edema F) Concussion
2 1/4 + 1 5/8 = _____
a. 3 1/4 b. 3 7/8 c. 4 3/4 d. 3 3/32
The client tells the nurse that even though it has been 4 months since her sister's death, she frequently finds herself crying uncontrollably. The client is afraid that she is "losing her mind." What is the nurse's best response?
a. "Most people move on within a few months. You should see a grief counse-lor." b. "Whenever you start to cry, distract your-self from thoughts of your sister." c. "You should try not to cry. I'm sure your sister is in a better place now." d. "Your feelings are completely normal and may continue for a long time."
All of the following laboratory test results on a burned client's blood are present during the emergent phase. Which result should the nurse report to the physician immediately?
A. Serum sodium elevated to 131 mmol/L (mEq/L) B. Serum potassium 7.5 mmol/L (mEq/L) C. Arterial pH is 7.32 D. Hematocrit is 52%