Which of the following risk factors would be of concern to the nurse who is planning care for a group of clients with metabolic acidosis? (Select all that apply.)
1. Chronic obstructive pulmonary disease
2. Hypovolemic shock
3. Pneumonia
4. Abdominal fistulas
5. Acute renal failure
2. Hypovolemic shock
4. Abdominal fistulas
5. Acute renal failure
Rationale:
Metabolic acidosis is rarely a primary disorder. It usually develops during the course of another disease such as shock, presence of abdominal fistulas, which can cause excess bicarbonate loss, and acute renal failure. Chronic obstructive pulmonary disease and pneumonia places the client at risk for respiratory acidosis with the increased retention of carbon dioxide in the blood.
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While educating a client regarding food safety in the United States, the client names the Centers for Disease Control and prevention as the organization that publishes a list of recalled food products. Which response should the nurse make to this client?
a. "Yes, the Centers for Disease Control is involved in monitoring food safety." b. "No, the United States Department of Agriculture provides this information." c. "No, the Food and Drug Administration provides this service and produces its own research about nutrition." d. "No, the Environmental Protection Agency provides this service and other online resources about the foods that we eat."
The implementation of computerized charting systems is a nationwide event. What has research shown about the use of computerized systems?
A) Safety among patient populations decreases B) Pharmacy orders are electronically verified C) Physician notes are more secure D) Patient safety increases
The nurse is administering an anticoagulant to a client. Which of the following medications are anticoagulants? (Select all that apply.)
1. Acetylsalicylic acid 2. Clopidogrel 3. Dalteparin 4. Reteplase 5. Tirofiban 6. Warfarin
A patient is undergoing surgery for an appendectomy. This would be considered what type of surgery?
A) Emergency surgery B) Elective surgery C) Palliative surgery D) Diagnostic surgery