A child ingests a parent's aspirin tablets, and the prescriber orders sodium bicarbonate to block the toxic effects of the aspirin. The nurse caring for this patient knows that sodium bicarbonate is effective against the aspirin because it:
a. accelerates its passage through the intes-tine.
b. alters urinary pH to enhance renal excre-tion.
c. induces CYP isoenzymes to increase drug metabolism.
d. raises the pH of the interstitial fluid to fa-cilitate passage out of the cells.
D
Sodium bicarbonate increases the pH of interstitial fluid and plasma, allowing the acidic aspirin ions to move outside the cells and thus removing them from the site where they have toxic ef-fects. It does not have laxative effects and does not alter the rate of passage through the gut. It is not a CYP isoenzyme inducer and therefore has no effect on drug metabolism. It does not alter renal excretion of aspirin.
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A patient tells the nurse that one result of his chronic stress is that he has considerable fatigue. He usually sleeps from 11:00 PM to 6:30 AM
He reports he now sets his alarm to give himself an extra 30 minutes of sleep each morning but feels no better and is rushed for work. Which nursing response would best address the patient's concerns? a. "You may need to speak to your doctor about taking a sedative to help you sleep.". b. "Exercising just before retiring for the night may help you to sleep better.". c. "Perhaps going to bed a half hour earlier would work better than sleeping later.". d. "A glass of wine in the evening might take the edge off and help you to rest.".
In an attempt to assess whether selection of a same-gender psychiatrist leads to better mental health outcomes, clients newly referred for mental health services are told they may choose their mental health physicians
Later, measures of mental health are performed. What type of research is this? a. Descriptive research b. Correlational research c. Quasi-experimental research d. Experimental research
The nurse is teaching parents about potential causes of colic in infancy. Which should the nurse include in the teaching session? (Select all that apply.)
a. Overeating b. Understimulation c. Frequent burping d. Parental smoking e. Swallowing excessive air
A busy nurse manager on a medical-surgical unit has just read The Seven Habits of Highly Effective People. Which of the following habits of effective leaders was added to the other seven and incorporates periodic analysis of values and beliefs?
A) Blending voices to develop shared vision B) Empowering others to use their talents C) Empowering others to live out passions D) Hearing one's own voice and inspiring others to find theirs