Uncontrolled maternal hyperventilation during labor results in which of the following conditions?
a. Respiratory acidosis
b. Metabolic acidosis
c. Respiratory alkalosis
d. Metabolic alkalosis
C
Rapid, deep respirations cause the laboring woman to lose carbon dioxide through exhalation, resulting in respiratory alkalosis.
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What would the nurse infer about the incidence of lung cancer being lower among Hispanic women versus that of the general population?
A. Hispanic women are less likely to smoke. B. Hispanic women are healthier than the general population. C. Hispanic women have better preventive health practices. D. Hispanic women are not genetically predisposed to lung cancer.
The home care nurse plans the environment of the client with Parkinson's disease. Which of the following should the environment include?
A) Brightly colored throw rugs B) Electric adjustable bed with side rails C) Weight training bench and weights D) Shower with nonslip surface and rails
A client is diagnosed with Group B Streptococcus at 37 weeks' gestation. Which prescribed treatment should the nurse be prepared to discuss?
A. A 7-day course of prescribed oral antibiotics. B. Initiation of treatment during the postpartum period. C. IM antibiotic treatment to facilitate a rapid treatment. D. Treatment with IV antibiotics during active labor.
B.T., a 31-year-old man who lives in a small mountain town in Colorado, is highly allergic to dust and pollen and has a history of mild asthma
B.T.'s wife drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler, he was unable to lie down, and he began to use accessory muscles to breathe. B.T. is immediately started on 4 L oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood gases is sent to the laboratory. B.T. appears anxious and says that he is short of breath. Vital Signs Blood pressure (BP) 152/84 mm Hg Pulse rate 124 beats/min Respiratory rate 42 breaths/min Temperature 100.4 ° F (38.4 ° C) Are B.T.'s vital signs acceptable? State your rationale. What is the rationale for immediately starting B.T. on O2? Keeping in mind B.T.'s health history and presenting complaint, what are the most important areas you need to evaluate during your physical assessment? Arterial Blood Gases pH 7.31 Paco2 48 mm Hg HCO3 26 mmol/L Pao2 55 mm Hg Interpret B.T.'s arterial blood gas results. Medication Orders Albuterol 2.5 mg plus ipratropium 250 mcg nebulizer treatment STAT Albuterol (Ventolin) inhaler 2 puffs q4h Metaproterenol sulfate (Alupent) 0.4% nebulizer treatment q3h Fluticasone (Flovent HFA) MDI: 220 mcg, 1 puff twice daily What is the rationale for the albuterol 2.5 mg plus ipratropium 250 mcg nebulizer treatment STAT (immediately)? Indicate the drug classification and expected outcome B.T. should experience with using metaproterenol sulfate (Alupent) and Fluticasone (Flovent).