The nurse is caring for a client with acid–base imbalance in collaboration with the healthcare team. The information that needs to be conveyed to the team includes: Standard Text: Select all that apply
1. Continued urinary output.
2. Changes in level of consciousness.
3. pH greater than 7.45.
4. Imbalance of I&O.
5. Baseline vital signs.
2,3,4
Rationale: A change in urinary output or nasogastric tube output would be significant to report.
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When considering priority setting of problems, the nurse keeps in mind that second-level priority problems include which of these aspects?
a. Low self-esteem b. Lack of knowledge c. Abnormal laboratory values d. Severely abnormal vital signs
Which disorder will result in mental retardation if not diagnosed and treated from birth?
a. Cystic fibrosis c. Phenylketonuria b. Sickle cell anemia d. Tay-Sachs disease
A nurse would be most concerned about the risk of suicide in which adolescent?
a. A 13-year-old girl with poor school performance b. A 14-year-old male exhibiting hostile behavior c. A 17-year-old female with alcohol abuse issues d. An 18-year-old male with relationship problems
The nurse knows that which setting would be most effective in assisting teenagers to eat a more nutritious diet?
A. In a small group of their peers B. At the hospital cafeteria C. At a table with parents D. Served to each teenager privately