A nurse is caring for a client admitted to the healthcare facility with narcotic overdose. The client has shallow respirations, tremors, headache, weakness, altered sensorium, and fruity-smelling breath
According to the arterial blood gas evaluation, the client's pH is decreased and PCO2 is increased. Which of the following acid–base imbalances has occurred? A) Respiratory acidosis
B) Respiratory alkalosis
C) Metabolic acidosis
D) Metabolic alkalosis
A
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Decreased pH, increased PCO2, shallow respirations, tremors, headache, weakness, altered sensorium, and fruity-smelling breath are suggestive of respiratory acidosis. Increased pH and decreased PCO2 are seen in respiratory alkalosis. Decreased pH and decreased HCO3– are seen in metabolic acidosis. Increased pH and increased HCO3– are seen in metabolic alkalosis.
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A) bone pain. B) weight loss. C) polydipsia. D) hypertension.
The nurse manager within a small department has requested that the staff decide department coverage over the holidays. The department is not associated with patient care and serves as a supportive role to the organization
The staff is to present the manager with the coverage plan during the month of December. This is an example of which type of decision? a. Autocratic decision procedure b. Consultative decision procedure c. Joint decision making d. Delegated decision procedure
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The response of the nurse includes which of the following? (Select all that apply.) a. Inform the residents that they cannot en-gage in a sexual relationship while they are residents of the facility. b. Provide a safe private area where the resi-dents can engage in sexual activity. c. Ignore the residents' activity. d. Provide education for the residents using the PLISSIT model. e. Contact the family members of the resi-dents in order to get consent from them.
The nurse is caring for a 14-month-old girl following a myelomeningocele repair. The girl's mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home. How should the nurse respond?
A) "I will help you become very comfortable providing your daughter's care." B) "You must learn how to care for your daughter at home." C) "You will need to learn to collaborate with all the caregivers." D) "There is a lot to learn and you need a positive attitude."