The nurse is reviewing the client's most recent arterial blood gas, and finds values of pH: 7.34, pCO2: 52, and HCO3: 28. The nurse interprets these results to mean:

1. The kidneys are compensating for respiratory acidosis.
2. The respiratory system is compensating for metabolic alkalosis.
3. The kidneys are compensating for respiratory alkalosis.
4. The pH is normal.


1
Rationale: While the pH is only mildly acidic, it points to acidosis, the pCO2 is elevated and the bicarbonate is elevated. As a result of elevated carbon dioxide levels, the kidneys are attempting to compensate by raising bicarbonate levels, and have corrected enough to bring pH close to normal.

Nursing

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A patient tells the nurse that her doctor just told her that she had a "chronic condition." She asks the nurse what "chronic condition" means. What would be the nurse's best response?

A) "Chronic conditions are defined as health problems that require management of 3 months or longer." B) "Chronic conditions are diseases that come and go." C) "Chronic conditions are medical conditions that have disabilities that require hospitalization." D) "Chronic conditions require short-term management in extended-care facilities."

Nursing

When inspecting the region of the lacrimal gland, palpate:

a. the lower orbital rim, near the inner can-thus. b. in the area between the arch of the eye-brow and upper lid. c. beneath the lower lid, adjacent to the inner canthus. d. adjacent to the lateral aspect of the eye, just beneath the upper lid.

Nursing

A student nurse signs the nurses' notes in the patient's record as, Mary Smith, RN (pending graduation 2015). According to the International Council of Nurses, which individual can use the title "nurse"?

a. Any student nurse who has completed at least 50% of the education program in which he or she is enrolled b. Any graduate of an accredited nursing program who has taken the NCLEX-RN® and is waiting on test results c. The nursing assistant who is assigned by the registered nurse to "help out" by performing health histories on newly admitted stable patients d. An individual who has successfully passed the NCLEX-RN®

Nursing

During the preliminary procedures, personnel from the admitting department make every effort to put the client at ease. What information does the admitting department enter into the electronic medication record about the client?

1 . Age and sex 2 . Marital status 3 . Religion 4 . Social Security number 5 . Health insurance A) 1, 2, 3 B) 1, 2, 5 C) 2, 3, 4 D) 3, 4, 5

Nursing