The patient who has had diarrhea for the last 3 days has blood gases of pH of 7.1, HCO3- of 20 mEq/L, and PCO2 of 36 mm Hg. These laboratory values are consistent with which acid-base imbalance?
a. Respiratory alkalosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Metabolic acidosis
D
Metabolic acidosis shows a low pH, low HCO3-, and normal CO2.
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Which is not a teaching point that the nurse would include when instructing a client to perform breathing exercises?
1. Breathing in deeply through the nose with the mouth closed 2. Avoiding arching the back 3. Holding the breath for 30-40 seconds 4. Breathing out slowly
The nurse is going to assess a patient's ankle–brachial index. Which equipment will the nurse use for this assessment? (Select all that apply.)
A) Tape measure B) Stethoscope C) Doppler device D) Blood pressure cuff E) Reflex hammer
In recent years, Kim has been experiencing increasing levels of anxiety when she is in large crowds. She has recently begun behavioral therapy, which will emphasize which of the following components?
A) Hypnotherapy B) Identifying seminal childhood moments that may have contributed to the problem C) Identifying and promoting adaptive behaviors to reduce anxiety D) Uncovering trauma that may be the unconscious source of anxiety
A client has recently experienced difficulty hearing out of both ears. Which of the following is the best nursing response to the client?
1. "Let's irrigate your ears with cool water." 2. "Can you turn your head toward me when I am talking to you?" 3. "Your hearing aid should not need a new battery for at least 3 months." 4. "Try to avoid putting a Q-Tip (cotton-tipped applicator) into your ears."