A patient is diagnosed with diabetic ketoacidosis. The nurse realizes that the mechanism with which the patient has been receiving energy is through which of the following?
1. aerobic metabolism
2. extraction
3. anaerobic metabolism
4. affinity
3
Rationale: Carbohydrates are the only food substrates that can be broken down to generate adenosine triphosphate without the use of oxygen. Anaerobic metabolism produces the by-products pyruvate and lactate, causes lactate to accumulate in the body, and leads to lactic acidosis. Aerobic metabolism would not cause diabetic ketoacidosis. Extraction refers to the body cell's ability to extract oxygen from hemoglobin. Affinity refers to the hemoglobin's ability to release oxygen to the tissues.
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During a staff meeting held to discuss developing a mission statement for the unit, the idea of placing patient needs first is:
a. Empowering. b. A leadership tag. c. A symbol. d. A management task.
The nurse is preparing to administer an intravenous polymyxin antibiotic. The patient reports dizziness along with numbness and tingling of the hands and feet. The nurse will perform which action?
a. Administer the drug since these are harmless side effects. b. Hold the drug and notify the provider of these adverse reactions. c. Obtain an order for an oral form of this medication. d. Request an order for serum electrolytes.
Which of the following situations would be considered a therapeutic communication challenge in pediatric nursing?
1. A street-smart teenager 2. A noncompliant patient and family 3. A culture that the nurse has not been previously exposed to 4. All of the above
The nurse is providing care to a pediatric client who will require radiation as a portion of the treatment regimen
Which topics should the nurse include in the teaching session related to long- term ramifications associated with this treatment option? 1. Scoliosis 2. Adhesions 3. Hypothyroidism 4. Visual impairment 5. Cardiotoxicity