A patient is diagnosed with renal insufficiency. The results of an ABG analysis indicate metabolic acidosis. In metabolic acidosis the nurse would expect the pH to _____________
Fill in the blank(s) with correct word
decrease less than 7.35
PaCO2 will be normal if uncompensated or <35 mm Hg if compensated. PaO2 will be normal or increase (with deep, rapid respiration). Oxygen saturation will be normal.
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A patient has been hospitalized for 5 days and has had no visitors. The nurse observes the patient to be bored, restless, and anxious. The nurse identifies this behavior as which of the following?
a. Sensory deficits b. Sensory overload c. Sensory deprivation d. Changes in attitudes
A client had pharmacogenetic testing (PGx) two years ago, but the prescriber has ordered another test prior to starting the client on tamoxifen. How should the nurse explain the need for this second test?
1. "Your first test was not normal." 2. "The testing you had last time must have been inconclusive." 3. "Your last test was not specific for tamoxifen." 4. "Your last test shows you have wild-type genes."
A patient is prescribed omeprazole (Prilosec) 60 mg once a day orally. The patient is having difficulty with swallowing and has a feeding tube in place. What is the nurse's best action?
a. Open the capsule and mix the contents with water, then give the drug through the feeding tube. b. Raise the head of the bed 90 degrees and mix the capsule in applesauce for easier swallowing. c. Contact the prescriber and pharmacist about using another drug or another form of the drug. d. Hold the tube feeding for at least 30 minutes before giving the drug.
The nurse is caring for a client with a fever of 101.8°F oral. Which other vital signs should the nurse anticipate would be affected?
1. Pulse rate 2. Respiratory rate 3. Diastolic blood pressure 4. Systolic blood pressure 5. Oxygen saturation