The patient with long-term obstructive pulmonary disease has a pH of 7, HCO3– of 18 mEq/L, and a PaCO2 of 40 mm Hg. From this laboratory information, the nurse assesses the patient is in:
a. respiratory alkalosis.
b. metabolic alkalosis.
c. respiratory acidosis.
d. metabolic acidosis.
D
These results are indicative of metabolic acidosis.
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The nurse is reviewing the immunization record for a client who just learned she is pregnant. Which vaccine is not safe to give during pregnancy?
A) Pertussis B) Annual influenza C) Rubella D) Tetanus
A nurse who works the night shift tells the nurse practitioner who is her primary caregiver "I am
exhausted most of the time. I sleep through my alarm and have to have a friend phone me to make sure I get up to go to work. Sometimes while I am on duty, my brain does not seem to work right. I am beginning to be concerned that I might make a practice error.". What question will the nurse need to ask before problem solving? a. "How much sleep to you get in a 24-hour period?" b. "Do you exercise just before going to bed?" c. "What stress are you experiencing in your life?" d. "Have you ever used a hypnotic to help you sleep?"
A client enters the walk-in clinic stating that there is an itchy, red, warm, raised rash on the left forearm. The nurse documents when the rash developed and what the client was doing when it appeared. Allergic dermatitis is diagnosed
Which instruction is most important to prevent further problems? A) Instruct on the use of topical ointment. B) Advise against scratching the rash. C) Instruct on eliminating further allergen exposure. D) Instruct on washing the skin.
Prior to administration of interferon alpha, the nurse will administer which medications?
a. Acetaminophen and diphenhydramine b. Heparin and meperidine c. Lorazepam and furosemide d. Narcotic analgesics and loratadine