The clinic nurse is evaluating a client who has been vomiting for two days due to food poisoning. The nurse would suspect that this patient may be developing which condition?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Respiratory alkalosis
D. Metabolic acidosis
Answer: B. Metabolic alkalosis
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The nurse is assessing a child with aplastic anemia. Which of the following would the nurse expect to assess? Select all that apply
A) Ecchymoses B) Tachycardia C) Guaiac-positive stool D) Epistaxis E) Severe pain F) Warm tender joints
A patient has lost most of her vision as a result of macular degeneration. When attempting to meet this patient's psychosocial needs, what nursing action is most appropriate?
A) Encourage the patient to focus on her use of her other senses. B) Assess and promote the patient's coping skills during interactions with the patient. C) Emphasize that her lifestyle will be unchanged once she adapts to her vision loss. D) Promote the patient's hope for recovery.
The nurse is training a nurse new to the labor and delivery unit. They are caring for a laboring patient who is undergoing a forceps delivery. Which action requires intervention?
1. Regional anesthesia is administered via pudendal block. 2. The patient is instructed to push between contractions. 3. Fetal heart tones are consistently between 110 and 115. 4. Bladder is emptied using a straight catheter.
A nurse is assisting with development of menu items at a long-term care facility. Which of the following menus would the nurse most likely recommend?
a. One egg over easy, one slice of whole wheat toast with sugar-free jam, 4 oz orange juice b. 5-oz cheeseburger cooked medium well with lettuce and tomato, 10 baked potato chips, and 1 cup of decaf coffee with low-fat milk and artificial sweetener c. Chef salad with 2 oz each ham and turkey, lettuce, tomato, bean sprouts, onion, green pepper with low-fat dressing, and one small roll with low-fat spread d. Turkey bacon, lettuce, and tomato sandwich on whole wheat bread with two teaspoons of low-fat mayonnaise, 10 vegetable chips, and ice tea with artificial sweetener