The nurse is caring for a patient with metabolic acidosis. Which assessment finding reveals that the compensatory mechanism to correct this imbalance is in effect?
a. Increased urinary output
b. Reduced abdominal distention
c. Kussmaul respirations
d. Decreased blood pressure
C
Kussmaul respirations, or deep and rapid respirations, are blowing off carbon dioxide to reduce an acidotic state.
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Why would it be important for the nurse to question the client about sexual practices, history of substance abuse, and his lifestyle during the interview process?
A) To find out if the client will be compliant with therapeutic treatments B) To determine if the client has practices that put him at risk for acquired immunodeficiency syndrome (AIDS) C) To determine if the client needs a referral to counseling services D) To determine what type of personality the client has
Which of the following criteria are representative of the patient in normal sinus rhythm?
a. Heart rate, 64 beats/min; rhythm regular; PR interval, 0.10 second; QRS, 0.04 second b. Heart rate, 88 beats/min; rhythm regular; PR interval, 0.18 second; QRS, 0.06 second c. Heart rate, 54 beats/min; rhythm regular; PR interval, 0.16 second; QRS, 0.08 second d. Heart rate, 92 beats/min; rhythm irregular; PR interval, 0.16 second; QRS, 0.04 second
A client who has been diagnosed with major depression works with other mental health consum-ers to advocate for establishment of additional self-help services for individuals and families with mental illness in a community
Which of the following best describes the organization that the client is likely involved with? a. Community Support Program (CSP) b. NIMH c. Mental Health Study d. National Alliance for the Mentally Ill (NAMI)
A novice nurse is practicing how to complete a comprehensive assessment to gain confidence and skill. Which of the following would be most important for the nurse to remember?
A) Gather health history information first. B) Intersperse the physical exam with the history. C) Establish a routine for the assessment. D) Allow the client a break between the two parts of the history/exam.