The nurse assesses a patient who is admitted for an overdose of sedatives. The nurse expects to find which acid-base alteration?
a. Hyperventilation and respiratory acidosis
b. Hypoventilation and respiratory acidosis
c. Hypoventilation and respiratory alkalosis
d. Respiratory acidosis and normal oxygen levels
B
Hypoventilation is common after overdose and results in impaired elimination of carbon dioxide and respiratory acidosis. The overdose depresses the respiratory drive, which results in hypoventilation, not hyperventilation. Hypoxemia is expected secondary to depressed respirations.
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When monitoring a patient for the most common side effect of oral antihistamines, the nurse would assess the patient's:
a. heart rate and rhythm. b. alertness. c. respiratory rate. d. bowel sounds.
The nurse has identified the diagnosis Self-Care Deficit for an older patient with hyposmia. What should the nurse include in the discharge instructions? Select all that apply.
1. Date and label all foods. 2. Remove kitchen waste weekly. 3. Use only disposable body wipes and avoid bathing or showering. 4. Establish a schedule for house cleaning or hire a housekeeper. 5. Place natural-gas detectors near the gas heater or stove.
A nurse is providing first-aid care to a client who has been involved in a motor vehicle accident. The nurse assesses the client for a medical identification tag
Based on this information, the nurse knows that about two-thirds of the tags contain which information? 1 . Allergies 2 . Diabetes 3 . Epilepsy 4 . High blood pressure A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
A nurse is preparing a patient for surgery and is teaching the patient about the use of the patient-controlled analgesia pump. The patient voices concern about becoming addicted to morphine. What will the nurse do?
a. Ask the patient about any previous drug or alcohol abuse. b. Discuss possible nonopioid options for postoperative pain control. c. Suggest that the patient use the PCA sparingly. d. Tell the patient that the pump can be programmed for PRN dosing only.