In a client 4 minutes post cardiac arrest, the nurse correlates the largest source of excess hydrogen ions with which cause?
a. Excess renal retention of carbon dioxide due to hypoxia
b. Release of intracellular acids due to widespread tissue destruction
c. Anaerobic metabolism, leading to the buildup of lactic acid
d. Using fat as a fuel source, resulting in increased fat degradation
C
Glucose metabolism continues under anaerobic conditions to supply the body with chemical energy (adenosine triphosphate [ATP]). However, this metabolism is incomplete, stopping at lactic acid production instead of continuing into the Krebs' cycle. This results in a large buildup of lactic acid, which releases excessive amounts of hydrogen ions into the blood.
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During the first interaction with a client, the nurse makes an introduction and identifies the purpose of the interaction. This serves to accomplish which of the following in developing a trusting relationship?
1. Setting goals 2. Building 3. Initiating 4. Maintaining
Antidepressants carry a "black box" warning about the increased risk of suicide in what age group?
A) Infants and children B) Children and adolescents C) Adolescents and adults D) Adults and older adults
Which of the following will have the greatest impact on data integrity?
1. The computer system goes down but is completely restored within one minute. 2. A nurse collects data related to allergies but fails to document all reported allergies. 3. A clinic manager uses secondary storage for storing clinical records offline. 4. A number of printed media clinical records are discarded in the regular trash dumpster.
A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the:
a. peritoneum. b. mediastinum. c. periosteum. d. hilum.