The nurse is caring for an adolescent client injured in a snowboarding accident. The client has a head injury, a fractured right rib, and various abrasions and contusions
The client has a blood pressure of 142/88 mm Hg, pulse of 102 beats/minute, and respirations of 26 breaths/minute. Which laboratory test best provides data on a potential impairment in ventilation? A) Blood gases
B) Complete blood count
C) Blood chemistry
D) Serum alkaline phosphate
A
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Blood gases report the partial pressure of oxygen, which is dissolved in the blood. Normal readings are 80 to 100 mm Hg. By documenting oxygen levels in the blood, the nurse recognizes the current ventilation. The complete blood count provides information regarding number of blood cells, which can relate to the disease processes such as anemia and infection. The blood chemistry provides information on liver/renal function and electrolytes within the system. Serum alkaline phosphate is a laboratory test used to help detect liver disease and bone disorders.
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The family members of a critically ill client tells the nurse, "We believe in the power of prayer. We will continue to pray that our loved on recovers."
Based on this data, which does the nurse realize that the family is demonstrating? A) Good family support system B) Spiritual health C) Conflict D) Denial
Pallor occurring in an extremity within 20 seconds after that extremity is lifted most likely indicates
a. normal arterial circulation. c. arterial insufficiency. b. venous insufficiency. d. thrombophlebitis.
The nurse is assessing the client newly prescribed Lasix 20 mg daily for 3+ pitting edema. To evaluate the effectiveness of diuretic therapy, which of the following would be documented?
A) Weight B) Blood pressure C) Edema D) Urine output
A patient with chronic kidney failure is taking a loop diuretic. The nurse will advise the patient to take the drug
1. with food. 2. in the morning. 3. at bedtime. 4. in the late afternoon.