The nurse is caring for a client with multiple organ failure and in metabolic acidosis. Which pair of organs is responsible for regulatory processes and compensation?
A) Kidney and liver
B) Heart and lungs
C) Lungs and kidney
D) Pancreas and stomach
C
Feedback:
The lungs and kidneys facilitate the ratio of bicarbonate to carbonic acid. Carbon dioxide is one of the components of carbonic acid. The lungs regulate carbonic acid levels by releasing or conserving CO2 by increasing or decreasing the respiratory rate. The kidneys assist in acid–base balance by retaining or excreting bicarbonate ions.
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The nurse is preparing to administer an intradermal injection. The nurse would insert the needle at which angle?
A) 15 degrees B) 30 degrees C) 45 degrees D) 90 degrees
The nurse is caring for a patient in crisis who has recently returned from military service in an active war zone. When initially assessing this patient, which concepts will the nurse apply regarding the type of crisis the patient is experiencing?
Select all that apply. 1. Determining the client's adaptation to the crisis guides the priority nursing actions. 2. Determining the trauma category the client is experiencing guides the priority nursing action. 3. Providing the client with education regarding type I trauma related to his or her military service. 4. Providing the client with education regarding type II trauma related to his or her military service. 5. Determining the client's degree of trust in trusted authorities during his or her military service.
The nurse is performing an assessment of a newly admitted patient. During the skin integrity assessment, the nurse notices an area on the right heel that is black and draining purulent, foul-smelling exudates
The nurse should document this as a pressure ulcer in: 1. stage I. 2. stage II. 3. stage III. 4. stage IV.
A client whose cervix is dilated to 5 cm is considered to be in which phase of labor?
a. Latent phase b. Active phase c. Second stage d. Third stage