During a prolonged resuscitation effort, a client's pH is noted to be 7.28. The nurse anticipates that which medication would be administered?
a. Epinephrine (Adrenalin)
b. Atropine
c. Sodium bicarbonate
d. Lidocaine (Xylocaine)
ANS: C
Sodium bicarbonate is prescribed to treat the metabolic acidosis that may accompany cardiac arrest and the hyperkalemia and acidotic states related to specific drug overdose situations.
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The nurse assesses a change in the respiratory status of an older patient. Which findings should be reported to the health care provider immediately? (Select all that apply.)
A) Infrequent cough B) Neck vein distention C) Elevated blood pressure D) Change in mental status E) Clear drainage from the nose
A male client informs the nurse that his partner is infected with chlamydia and he is concerned he may be infected as well. For which manifestation should the nurse assess the client?
1. Urinary retention 2. Urethral discharge 3. Blisters on the penis 4. Painful intercourse
Which intervention addresses a right guaranteed a long-term care facility resident?
a. Ethnic foods are made available to cultur-ally diverse residents who would like them. b. Each resident has access to a telephone in his or her room. c. Family members are welcome at any time. d. A professional hairdresser is available 3 days a week.
A nurse is drawing a blood sample from a client's central line and the client suddenly becomes dyspneic and complains of chest pain. The priority action by the nurse is to
a. obtain blood pressure readings in both arms. b. notify the physician immediately. c. put the client in a left lateral Trendelenburg position. d. terminate the procedure and clamp the central line.