The nurse is reviewing a client's blood work, noting the bicarbonate and carbon dioxide levels. Which of the following would the nurse expect to see clinically in the client? Standard Text: Select all that apply
1. With a low pH, and an increased level of carbon dioxide, the rate and depth of respirations will increase to compensate.
2. With a high pH, and a low carbon dioxide, the client might be hyperventilating.
3. With a high bicarbonate, the pH will be higher, and the rate and depth of respirations are reduced in order to retain carbon dioxide.
4. With a high bicarbonate, the pH will be lower, and the depth and rate of respirations will be unchanged.
5. With an increase in the rate and depth of respirations, the pH will increase.
1,2,3,5
Rationale:
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Which of the following conditions is a client likely to have, judging by anion gap, if investigations reveal these values: sodium 166 mEq/L, potassium 5.0 mEq/L, chloride 115 mEq/L, and bicarbonate 35 mEq/L?
A) Metabolic acidosis C) Metabolic alkalosis B) Respiratory alkalosis D) Respiratory acidosis
A patient is treated with a Japanese-style massage that uses thumb pressure to work along energy meridians and is similar to acupressure. This type of massage is called
1. Shiatsu. 2. Swedish. 3. Reflexology. 4. Deep tissue.
The nurse is preparing to administer an immunization to a 16-year-old in his deltoid muscle. To locate this site the nurse will need to:
a. measure 2-3 fingerbreadths below the acromiom process. b. place his or her hand on the greater trochanter and form a V with the index finger toward the anterior superior iliac spine. c. This is not an appropriate site for a child so the nurse should search for a better site. d. locate the abdomen and plan to inject the medication at least an inch away from the umbilicus.
A staff development program to teach nurses and other providers how to reduce risk by properly documenting intervention provided is an example of which of the following levels of prevention as applied to quality management?
a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quality care