A client has a prolonged fever. For which acid-base imbalance does the nurse assess the client further?
a. Metabolic acidosis from excess bicarbonate production
b. Metabolic alkalosis from dehydration and hyperkalemia
c. Metabolic acidosis from increased production of hydrogen ions
d. Respiratory alkalosis from impaired gas exchange
C
Increased body temperature is associated with hypermetabolism and increases the rate at which hydrogen ions are produced. Increased bicarbonate production would lead to metabolic alkalosis. Hyperkalemia leads to metabolic acidosis. Having a fever would not directly lead to gas exchange problems.
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The presence of jaundice in a dark-skinned individual appears as a yellow to orange coloration of the
a. skin, mucous membranes, and palmar and plantar surfaces. b. fingernails and skin. c. sclera, hard palate, and palmar and plantar surfaces. d. sclera only.
A nurse has just received a patient who had a cystoscopy from the postanesthesia recovery unit. The nurse notices that the patient's urine is tinged with pink. What is the first action the nurse should implement?
a. Call the physician. b. Record the assessment in the patient's record. c. Encourage the patient to drink plenty of fluids. d. Prepare the patient for a return to surgery.
Why does the nurse teach a patient to use a small medication cup to measure a liquid drug rather than a tableware teaspoon?
a. A child may learn to think that all tableware teaspoons contain drugs. b. Teaspoons are more likely to spill and waste drug than a medication cup. c. Medication cups measure liquids more accurately than tableware teaspoons. d. Medication cups are less likely to change the taste of the drug than tableware teaspoons.
Nursing diagnoses and medical diagnoses are the same
Indicate whether the statement is true or false