The nurse monitors for which acid-base problem in a client who is taking furosemide (Lasix) for hypertension?
a. Acid excess secondary to respiratory acidosis
b. Acid deficit secondary to respiratory alkalosis
c. Acid excess secondary to metabolic acidosis
d. Acid deficit secondary to metabolic alkalosis
D
Many diuretics, especially loop diuretics, increase the excretion of hydrogen ions, leading to excess acid loss through the renal system. This situation is an acid deficit of metabolic origin.
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A child has thrombocytopenia secondary to chemotherapy treatments. Based on this finding, what should the nurse do?
1. Avoid administering intramuscular injections (IM). 2. Monitor intake and output. 3. Use palpation as a component of assessment. 4. Avoid performing oral hygiene.
The nurse is performing an external eye examination. Which statement regarding the outer layer of the eye is true?
a. The outer layer of the eye is very sensitive to touch. b. The outer layer of the eye is darkly pigmented to prevent light from reflecting internally. c. The trigeminal nerve (CN V) and the trochlear nerve (CN IV) are stimulated when the outer surface of the eye is stimulated. d. The visual receptive layer of the eye in which light waves are changed into nerve impulses is located in the outer layer of the eye.
A patient, age 39, receiving chemotherapy for treatment of her cancer has a white blood cell count of 1600/mm3. This finding requires nursing interventions to provide which of the following?
a. Adequate fluid intake b. Protection from falls c. Protection against infection d. Frequent small nutritious snacks
Which therapeutic intervention could the nurse generalist use to help a child gain insight into
feelings and learn new ways to cope with difficult situations? a. Bibliotherapy b. Family therapy c. Psychodrama d. Insight-oriented individual therapy