A nurse is caring for a client with diarrhea. For which acid-base disorder does the nurse assess the client?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
Ans: A. Metabolic acidosis
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A nurse observes rhythmic, involuntary facial movements in a client who has been receiving antipsychotic drugs. The client also makes chewing movements and, at times, his tongue protrudes. The nurse interprets these findings as which of the following?
A) Stevens-Johnson syndrome B) Neuroleptic malignant syndrome C) Tardive dyskinesia D) Extrapyramidal syndrome
A patient is brought into the emergency department with fractured left femur, tibia, and fibula with a mild contralateral head injury. The nurse would correctly suspect that this patient's mechanism of injury would be
1. child pedestrian hit by an automobile. 2. adult pedestrian hit by an automobile. 3. unrestrained driver of a motor vehicle. 4. unrestrained front seat passenger of a motor vehicle.
A school-age client experiences a near-drowning episode and is admitted to the pediatric intensive-care unit (PICU). The parents express guilt over the near drowning of their child. Which response by the nurse is most appropriate?
1. "You will need to watch the child more closely." 2. "Tell me more about your feelings related to the accident." 3. "The child will be fine, so don't worry." 4. "Why did you let the child almost drown?"
All of the following persons should receive a dose of the meningococcal vaccine except:
A. a 19-year-old who received a first dose at 12 years of age. B. a 22-year-old who has not received the vaccine and will be moving to a college dormitory. C. a 35-year-old who will be traveling to a country where meningococcal disease is hyperendemic. D. a 15-year-old who received a first dose at 11 years of age.