A client is admitted to the hospital after vomiting for 3 days. Which arterial blood gas results would the nurse expect to find in this patient:
a) pH 7.30, PaCO2 50, HCO3 27
b) pH 7.47, PaCO2 43, HCO3 28
c) pH 7.43, PaCO2 50, HCO3 28
Ans: b) pH 7.47, PaCO2 43, HCO3 28
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What will occur more frequently in a pregnancy complicated by type I diabetes?
a. Birth defects b. Low-birth-weight infants c. Premature labor d. Premature rupture of the membranes
A client with leukemia is being discharged from the hospital. After hearing a nurse's instructions to keep regularly scheduled follow-up provider appointments, the client says, "I don't have transportation." How does the nurse respond?
A. "A pharmaceutical company might be able to help." B. "I might be able to take you." C. "The local American Cancer Society may be able to help." D. "You can take the bus."
A male client receives a local anesthetic during surgery. During the post-operative assessment, the nurse notices the client is slurring his speech. Which action should the nurse take?
A) Determine the client is anxious and allow him to sleep. B) Evaluate his blood pressure, pulse, and respiratory status. C) Review the client's pre-operative history for alcohol abuse. D) Continue to monitor the client for reactivity to anesthesia.
A neonate with a meningomyelocele is to have surgery in the morning. Which nursing action is appropriate for this neonate?
1. Applying a diaper to prevent contamination of sac 2. Positioning the newborn in a side-lying position 3. Encouraging the mother to hold the newborn because she will not be able to pick him up after surgery 4. Positioning the newborn in a prone position