The nurse can record that the compensatory mechanism for the correction of metabolic acidosis is in effect when the nurse observes:
a. increased urinary output.
b. reduced abdominal distention.
c. Kussmaul's respirations.
d. decreased blood pressure.
C
Kussmaul's respirations, or deep and rapid respirations, are blowing off carbon dioxide to reduce an acidotic state.
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What development stage is the sense of industry?
1. Adolescent 2. Preschool 3. School-age 4. Toddler
What finding is unique to the documentation of a physical examination of an infant
A. Fontanel sizes B. Liver span C. Prostate size D. Thyroid position
The nurse coming on duty receives the report from the nurse going off duty. Which of the following clients should the on-duty nurse assess first?
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A client who is a policewoman tells the nurse she is depressed and can no longer deal with the stress of her job. She mentions that employee assistance counseling failed to change her hopeless attitude
She states that she will use her police revolver to shoot herself in the head during the day when no one is at home and the home is locked. Which formulation by the triage nurse is correct? 1. Plan explicit. Imminence high. Method highly lethal and accessible. Rescue po-tential low. 2. Plan vague. Imminence moderate. Method somewhat lethal and accessible. Res-cue potential moderate. 3. Plan complete. Imminence low. Method low lethality but accessible. Rescue po-tential high. 4. Plan nebulous. Imminence low. Method low lethality but accessible. Rescue po-tential high.