The nurse learns that a patient's serum pH is less than 6.35. The nurse should plan care for which of the following health problems?

a. Acidosis
b. Alkalosis
c. Fluid volume excess
d. Fluid volume deficit


ANS: A
A. Any pH less than 7.35 is acidotic. Alkalosis occurs with a pH of more than 7.45. C. D. The blood pH is not used to determine fluid volume.

Nursing

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A patient with head trauma is being monitored with an intraventricular catheter device (IVC). The patient's intracranial pressure (ICP) had been staying around 20 mm Hg, but moments ago, it spiked up to 55 mm Hg

What complication related to the monitoring device itself would best explain this dramatic increase in ICP? A) Infection at the catheter access site B) Obstruction of the catheter C) Hemorrhage D) Misplacement of catheter

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The Leapfrog Group identified four evidence-based standards that they believe will provide the greatest impact on reducing medical errors. What are the four evidence-based standards?

A) Computerized physician–provider order entry, evidence-based hospital referral, ICU physician staffing, and the use of Leapfrog Safe Practices scores B) Computerized physician–provider order entry, evidence-based visiting nurse referral, ED physician staffing, and the use of Leapfrog Safe Practices scores C) Computerized primary care provider order entry, evidence-based hospital referral, ICU physician staffing, and the use of Leapfrog Safe Medication scores D) Computerized nurse practitioner–provider order entry, evidence-based outpatient referral, ED physician staffing, and the use of Leapfrog Safe Medication scores

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What is the most common cause of microcytic anemia?

a. Anemia of chronic disease (ACD) b. Sideroblastic anemia c. Iron-deficiency anemia d. Thalassemia

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A psychiatric clinical nurse specialist works with a defendant as a competency evaluator. A staff member asks, "Why are you spending so much time with that defendant? You spend one-to-one time and write volumes

Usually, we give defendants some medication and return them to court." Select the clinical nurse specialist's most appropriate response. a. "My role is to be an advocate for the defendant, so I have to know him well and build a trusting relationship." b. "My focus is providing intensive psychotherapy to ensure the defendant becomes competent before returning to court." c. "The specialized assessments I make on behalf of the court require very lengthy and detailed interviews, so it takes a lot of time." d. "I spend the time observing, assessing, and documenting competency, writing a report, and preparing expert testimony for the court."

Nursing