The nurse is caring for a client with severe diarrhea, nausea, and vomiting. Expected findings upon physical assessment and review of laboratory studies include: Standard Text: Select all that apply
1. Increased breathing.
2. Change in level of consciousness.
3. pH below 7.35.
4. pH above 7.35.
5. Low bicarbonate level.
1,2,3,5
Rationale: The respiratory system increases breathing to try to blow off excess acid.
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The nurse is talking with a client who was stung by a bee and began having difficulty breathing. What serious complication from injected venom should the nurse discuss with the client?
A) Hives B) Itching C) Airway obstruction D) Diarrhea
The first step in the development of a data collection plan in a quantitative study is:
A) Locating existing instruments for key constructs B) Identifying and prioritizing data needs C) Developing suitable forms for data collection D) Pretesting data collection instruments
The nurse identifies the diagnosis Self-Care Deficit related to cognitive impairment as appropriate for a client. What should the nurse select as an expected outcome for this client?
1. The client will be able to name the staff that works on the day shift. 2. The client will eliminate safety hazards in her environment. 3. The client, with supervision, will brush her teeth. 4. The nurse will stress the importance of adequate fluid intake.
According to the STAR skin tear classification system, a category 1b skin tear is: a. a skin tear where the edges can be realigned to thenormal anatomical position and the skin or flapcolour is pale, dusky or darkened
b. a skin tear where the edges cannot be realigned tothe normal anatomical position and the skin orflap colour is not pale, dusky or darkened. c. a skin tear where the edges cannot be realigned to the normal anatomical position and the skin or flap colour is pale, dusky or darkened. d. a skin tear where the skin flap is completely absent.