A client is admitted to the emergency department (ED) in respiratory distress. The results of his arterial blood gases are the following: pH = 7.30; PCO2 = 40; HCO3 = 19 mEq/l; PO2 = 80. The nurse interprets the findings as which of the following?
1) Respiratory acidosis with normal oxygen levels
2) Respiratory alkalosis with hypoxia
3) Metabolic acidosis with normal oxygen levels
4) Metabolic alkalosis with hypoxia
ANS: 3
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An adolescent has systemic lupus erythematosus (SLE). Which action by the teen indicates acceptance of the body changes that occur because of SLE?
1. Attends school but doesn't stay for after-school activities 2. Discusses the body changes with health care personnel only 3. Discusses the body changes with her best friend 4. Only attends small parties at friends' homes
When completing a health history on a client, the nurse needs to include which of the following? (Select all that apply.)
a. date of birth d. last bowel movement b. religious preferences e. herbal use c. blood pressure f. home environment
A client is discontinued from fluoxetine. The nurse correctly understands that a return of signs and symptoms of depression as a result of complete elimination of fluoxetine from the body will MOST likely occur:
a. between 1 and 2 days b. between 1 and 2 weeks c. between 2 and 4 weeks d. between 1 and 2 months
The point at which a stimulus, such as pressure, activates pain receptors and produces a sensation of pain is known as the:
a. sensation threshold. b. encouraged pain tolerance. c. pain threshold. d. pain tolerance.