A patient is diagnosed with respiratory acidosis. Which health problems should the nurse consider as causing this patient's diagnosis? (Select all that apply.)
a. Anxiety
b. Kidney failure
c. Hyperventilation
d. Shallow respirations
e. Chronic lung disease
f. Uncontrolled diabetes
ANS: D, E
Chronic lung disease and shallow respirations both are associated with hypoventilation, which causes respiratory acidosis. A. C. Anxiety and hyperventilation are associated with respiratory alkalosis. F. Diabetes is associated with metabolic acidosis. B. Kidney failure is associated with metabolic acidosis.
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A client has diabetic ketoacidosis and manifests Kussmaul respirations. What action by the nurse takes priority?
a. Administration of oxygen by mask or nasal cannula b. Intravenous administration of 10% glu-cose c. Implementation of seizure precautions d. Administration of intravenous insulin
When developing a plan of care for a 4-year-old preoperative client, the nurse selects which of the following appropriate outcomes for this client?
1. The client points to the FACES pain scale and utilizes it each time there is pain. 2. The client states understanding of the plan of care. 3. The client states understanding of the use of a PCA. 4. The client verbalizes why an indwelling catheter is needed.
If water taken in by the body exceeds water lost, an abnormal accumulation of fluids in the interstitial spaces of the tissues, or ________, occurs.
Fill in the blank(s) with the appropriate word(s).
What test measures the load on the resting heart mediated by respiratory gating??
A) Carotid ultrasound B) Ankle Brachial Pressure Index (ABPI) C) Heart rate variability (HRV) analysis D) Lipid panel