The nurse is reviewing lab work for a client whose blood CO2 level is elevated. The nurse is most correct to suspect an impairment of which?
A) Alveoli
B) Bronchi
C) The pulmonary artery
D) The pulmonary vein
A
Feedback:
Gas exchange occurs in the lung where oxygen in inspired air exchanges for CO2 in the venous blood. The CO2 is then transferred to the alveoli to be exhaled. No gas exchange occurs in the bronchi. The pulmonary artery carries deoxygenated blood to the lungs, and the pulmonary vein brings oxygenated blood back to the heart to be pumped to the tissues.
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You give the first dose of an antihypertensive drug to a hospitalized patient. Which instruction should you give to the patient next?
a. "Stay in bed and call for help if you need to get up for any reason." b. "Urinate in a container so that we can keep track of your urine output." c. "If you develop a headache, we can give you some acetaminophen (Tylenol)." d. "You may get up but only if you need to use the bathroom."
A patient is to collect a 24 hour urine specimen from 8 AM today to 8 AM tomorrow. What should be included in the nurse's instructions to the patient?
a. Collect all your urine between 8 AM today and 8 AM tomorrow. b. At 8 AM today, void into the container, collect all the urine until 8 AM tomorrow, then void and discard. c. Void at 8 AM today and discard, collect all your urine until 8 AM tomorrow when you should void and discard. d. Void at 8 AM today and discard, collect all your urine until 8 AM tomorrow when you should empty your bladder completely and save the specimen.
The nurse teaches a patient who is scheduled for a prostate needle biopsy about the procedure. Which statement, if made by the patient, indicates that teaching was effective?
a. "The biopsy will remove the cancer in my prostate gland." b. "The biopsy will determine how much longer I have to live." c. "The biopsy will help decide the treatment for my enlarged prostate." d. "The biopsy will indicate whether the cancer has spread to other organs."
The physician has ordered intravenous phenytoin (Dilantin). The patient is also receiving 5% dextrose in water (D5W) intravenously (IV). What will the nurse plan to do before administering this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Use a large vein for the infusion. 2. Use an intravenous (IV) line with a filter. 3. Flush the intravenous (IV) line with saline. 4. Monitor the patient for hypertension. 5. Monitor the patient for Stevens-Johnson syndrome.