A client is determined to be in respiratory alkalosis by blood gas analysis. The nurse would monitor this client for signs of which of the following electrolyte disorders that could accompany the acid-base imbalance?
1. Hypokalemia
2. Hypercalcemia
3. Hypochloremia
4. Hypernatremia
1
Rationale: Clinical manifestations of respiratory alkalosis include tachypnea, hyperpnea, weak-ness, paresthesias, tetany, dizziness, convulsions, coma, hypokalemia, and hypocalcemia. The clinical picture does not include hypernatremia, hypercalcemia, or hypochloremia.
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The nurse focuses on oral hygiene to maintain a healthy state of the oral cavity, as well as to:
a. improve self-esteem. b. stimulate appetite. c. restore tooth destruction. d. assist with periodontitis.
What heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood?
a. S1, S2 b. S3, S4 c. Murmur d. Physiologic splitting
The parents of a 15-month-old child express concern to the nurse about their child's thumb-sucking habit. Which of these explanations related to the child's age and developmental level would be most appropriate for the nurse to give the parents?
a. Thumb sucking at this age indicates a developmental delay and should be further assessed. b. Sucking achieves a pleasing result for infants, and generalizing that action by thumb sucking is normal. c. Thumb sucking at this age demonstrates a transition away from egocentric thinking. d. At this age, thumb sucking will enhance language development.
In addition to disturbances in cognition, the MOST common symptom of depression in the elderly is which of the following symptoms?
a. diarrhea b. increase in appetite c. sleep difficulties d. anger