The nurse monitors for which acid-base imbalance in a client who has hypoxemia?
a. Reduced carbon dioxide production leading to alkalosis
b. Reduced carbon dioxide retention leading to alkalosis
c. Excess carbon dioxide production leading to acidosis
d. Excess carbon dioxide retention leading to acidosis
C
Hypoxemia (lower than normal blood oxygen level) causes some organs, tissues, and cells to have anaerobic metabolism. This situation leads to a buildup of carbon dioxide. Elevated levels of carbon dioxide lead to an increase in blood hydrogen ion levels and acidosis.
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The visiting nurse has many clients who are African American. Which intervention is most important for the nurse to accomplish when seeing these clients?
a. Weigh the clients and compare their weights. b. Assess the clients' blood pressure. c. Observe the clients for any signs of abuse. d. Ask the clients about their medications.
Which of the following would indicate that treatment for a client with obsessive-compulsive disorder is effective?
1. The client conducts ritualistic hand washing every hour. 2. The client folds and refolds clothing in a drawer before each meal. 3. The client watches television while eating meals and engages in conversation with roommate. 4. While walking, the client counts 13 steps and then reverses the direction and repeats the process.
The nurse is preparing a teaching plan for an adolescent postpartum mother. Which topic will the nurse include in the teaching plan?
1. Most medications are secreted into breast milk. 2. The new mother's insulin will not be secreted into her breast milk. 3. Over-the-counter (OTC) drugs and herbal products are secreted into breast milk and have the potential to cause harm to the infant. 4. Topical medications must be avoided as these also are secreted into breast milk. 5. Most drugs are safe to take right after breast-feeding because they have not reached the blood stream yet.
To prevent pressure ulcers, you must:
a. Keep the person's skin clean and dry b. Massage pressure points c. Use soap to clean the skin d. Scrub and rub the skin during bathing