A college freshman has bulimia. She vomits after eating and has recently noticed tingling of her fingers and toes and has had muscle cramps. Her roommate is a nursing student and is concerned about which of the following conditions?
A. Respiratory acidosis
B. Metabolic acidosis
C. Respiratory alkalosis
D. Metabolic alkalosis
D
Metabolic alkalosis results from heavy acid loss from the body or an increase in levels of bicarbonate. The most common causes are vomiting and gastric suction. Arterial blood gas alterations: pH above 7.45, PaCO2 normal (if uncompensated) or greater than 45 mm Hg (if compensated), PaO2 normal, and bicarbonate level above 26 mEq/L.
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What data in the client's past history would predispose the client to Laënnec's cirrhosis?
A. History of gallstones B. History of alcohol abuse C. History of viral hepatitis D. History of heart disease
Health literacy is best defined as which of the following?
a. Reading level of the learner b. Learner's ability to sign his name on a consent c. Educational level of the learner d. Learner's ability to read, understand, and act on health information
The patient has advanced cancer and is experiencing malignant pain. How should the nurse plan to manage this pain?
1. Use the intravenous route for pain medication administration. 2. Set up a dosing schedule that provides for around-the-clock doses. 3. Encourage the patient to wait 10 minutes after pain medication is required to ask for a dose. 4. Augment the patient's regimen with other pharmaceutical and nonpharmaceutical pain relief measures for breakthrough pain. 5. Counsel the patient that it is not possible to eliminate all the pain of cancer and that some must be tolerated.
Additive central nervous system (CNS) depression can occur when combining a sedative-hypnotic with which drug?
A. Methylphenidate (Ritalin) B. Cocaine C. Amitriptyline (Elavil) D. Amphetamine (Adderall)