When a community health nurse arrives at the home of a client diagnosed with bulimia nervosa, the nurse finds the client on the floor unconscious. The client has a history of using laxatives for purging
To what would the nurse attribute this client's symptoms? A. Increased creatinine and blood urea nitrogen (BUN) levels
B. Abnormal electroencephalogram (EEG)
C. Metabolic acidosis
D. Metabolic alkalosis
C
Excessive vomiting and laxative or diuretic abuse may lead to problems with dehydration and electrolyte imbalance. The nurse should attribute this client's fainting to the loss of alkaline stool due to laxative abuse, which would lead to a relative metabolic acidotic condition.
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An older client is admitted to the hospital with bronchitis. The client's family asks the nurse why the family member is so sick when others in the family are not affected in the same way. The nurse should teach the family that:
1. older clients have problems with adequate nutrition and are more susceptible to respiratory infections as a result. 2. the chest wall of the older client is more elastic, allowing a buildup of more secretions. 3. the older client has less cilia and a weaker cough that makes it difficult to get secretions out of the lungs. 4. the older client has much thinner secretions than does the young one.
The client at 34 weeks' gestation has been stabbed in the low abdomen by her boyfriend. She is brought to the emergency department for treatment
Which statements indicate that the client understands the treatment being administered? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "The baby needs to be monitored to check the heart rate." 2. "My bowel has probably been lacerated by the knife." 3. "I might need an ultrasound to look at the baby." 4. "The catheter in my bladder will prevent urinary complications." 5. "The IV in my arm will replace the amniotic fluid if it is leaking."
The client has been diagnosed with acute glaucoma. What are the common causes for this condition?
1. Trauma or hemorrhage 2. Increased intracranial pressure 3. Decreasedintraocular pressure 4. Diabetes mellitus or renal disease
A nurse receives report from the laboratory on a client who was admitted for fever. The laboratory technician states that the client has "a shift to the left" on the white blood cell count. What action by the nurse is most important?
a. Document findings and continue monitoring. b. Notify the provider and request antibiotics. c. Place the client in protective isolation. d. Tell the client this signifies inflammation.