The nurse is providing discharge teaching. Which statement by the client indicates the need for further teaching regarding increased risk for metabolic alkalosis?
a. "I don't drink milk because it gives me gas and diarrhea."
b. "I have been taking digoxin every day for the last 15 years."
c. "I take sodium bicarbonate after every meal to prevent heartburn."
d. "In hot weather, I sweat so much that I drink six glasses of water each day."
C
Excessive oral ingestion of sodium bicarbonate and other bicarbonate-based antacids can cause a metabolic alkalosis. Avoiding milk, taking digoxin, and sweating would not lead to increased risk of metabolic alkalosis.
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When teaching nursing preceptors about power, which statement indicates learning has been successful?
1. ?I am only showing the student how to take care of patients so I have no need for power.? 2. ?I can use power to teach the student how to motivate, communicate, and achieve outcomes.? 3. ?I do not want to give the student the idea that nurses are all about who has the most power.? 4. ?I can use power to ensure other disciplines know I am the one who really does the work.?
A client with appendicitis has an appendectomy. After surgery, what type of pain does the nurse anticipate the patient will have?
A) Acute pain B) Chronic pain C) Neuropathic pain D) Referred pain
The nurse is assigned to assist in caring for a client who recently returned from the operating room (OR)
On data collection, the nurse notes that the client's vital signs are blood pressure (BP), 118/70 mm Hg; pulse, 91 beats/min; and respirations, 16 breaths/min. Preoperative vital signs were BP, 132/88 mm Hg; pulse, 74 beats/min; and respirations, 20 breaths/min. Which of the following actions should the nurse plan to take first? 1. Shake the client gently to arouse. 2. Call the surgeon immediately. 3. Cover the client with a warm blanket. 4. Recheck the vital signs in 15 minutes.
After teaching a group of students about public health nursing and the U.S. Public Health Service Commissioned Corps, the instructor determines that the students need
additional instruction when they state which of the following is necessary to qualify for a position in the Corps? A) Age over 45 years B) Bachelor's degree in nursing C) Valid nursing license D) U.S. citizenship