The arterial blood gases for a client in shock demonstrate increased carbon dioxide and decreased oxygen. What type of respirations would the nurse expect to assess based on these findings?
A) Absent and infrequent
B) Shallow and slow
C) Rapid and deep
D) Noisy and difficult
Ans: C
Any condition causing an increase in carbon dioxide and a decrease in oxygen in the blood tends to increase the rate and depth of respirations. An increase in carbon dioxide is the most powerful respiratory stimulant.
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An older adult fell at home and fractured a hip, which requires surgical repair. After admittance to the emergency department, the client was given sedation for pain before a surgical permit was signed. What should be done to obtain consent?
1. The physician should have the client's wife sign the consent form. 2. The physician should wait until the effects of the medication wear off and have the client sign the form. 3. Because the client has been medicated, the nurse should thoroughly explain the consent form to the client. 4. This would be considered an emergency situation and consent would be implied.
The critical care nurse is concerned that a patient in the acute phase of a burn injury is experiencing metabolic changes because of which assessment findings? Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply. 1. Drop in body weight 2. Elevated creatinine levels 3. Urine output of 20 mL/hr 4. Abdominal pain 5. Stridor
The nurse is initiating thyroid hormone therapy for a client. What symptom related to therapy should the nurse teach the client to report immediately?
A) Nausea B) Fever C) Angina D) Dizziness
The law requires that a person give voluntary and informed consent for medical treatment. Which of the following statements accurately describes this legal obligation?
A) It is the responsibility of the nurse to obtain informed consent. B) Informed consent must be obtained in the form of written documentation. C) A blanket consent for "any procedures deemed necessary" is usually considered adequate consent for specific procedures. D) The courts do not accept the client's medical condition alone as a valid reason for withholding information when seeking consent.