A nurse is caring for a client who is receiving dialysis. An order on the client's chart
reads "Guaiac all stools." What should the nurse do?
A) Monitor all stools for consistency and color
B) Measure all stools to monitor the output
C) Send all stools for occult blood test
D) Send all stools for a culture and sensitivity test
C
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The nurse in the intensive care unit receives arterial blood gases (ABG) with a patient who is complaining of being "short of breath." The ABG has the following values: pH = 7.21, PaCO2 = 64 mm Hg, HCO3 = 24 mm Hg. The labs reflect:
A) Respiratory acidosis B) Metabolic alkalosis C) Respiratory alkalosis D) Metabolic acidosis
The surgical wound of a patient recovering from an appendectomy has several steri-strips across it with a small amount of dried blood over the incision line. How would the nurse dress this wound?
1. Hydrocolloid dressing 2. Wet-to-dry dressing 3. Alginate dressing 4. Dry, sterile dressing
Throughout the history and physical examination, the clinician should:
a. concentrate on emotional issues. b. follow an inflexible sequence. c. evaluate the whole patient. d. deal only with previously identified prob-lems.
On auscultation, a patient's breath sounds include high-pitched wheezing, anterior and posterior, in the upper lobes. Sibilant wheezing is caused by:
A) Fluid accumulated in the airways. B) Decreased ventilatory effort. C) Narrowed airways. D) All of the above.