The nurse is developing a plan of care for a patient with Crohn's disease. In order to determine the correct nursing diagnosis, the nurse knows that the kidneys regulate plasma pH changes by secreting:
1. H+ ions.
2. K+ ions.
3. Na+ ions.
4. NaCO3 ions.
H+ ions.
Rationale: The kidneys regulate plasma pH changes by secreting hydrogen ions. The kidneys also regulate and restore or reclaim sodium bicarbonate ions (NaCO3). Although the kidneys also regulate sodium and potassium, these electrolytes are not the primary factors in controlling plasma pH.
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What intervention does the nurse include in the plan of care for a patient receiving a continuous intravenous infusion of heparin?
A) Avoiding intramuscular injections B) Assessing for symptoms of respiratory depression C) Measuring hourly urinary outputs D) Monitoring BP hourly
An important health-promotion strategy for parents of adolescents is to help them understand that:
a. chronological age and social and emotional development should be considered in determining autonomy for adolescents. b. chronological age is the best indicator of adolescent maturity and the ability to make decisions. c. physical maturation takes precedence over emotional development in determining maturity. d. social and emotional development are more important than chronological age in determining adolescent maturity.
The nurse hears a parent say to a child, "If you behave, we'll stop and get you an ice cream cone when we're done here." What should the nurse realize is occurring with the parent?
1. rewarding behavior with food 2. frustration with the child's behavior 3. anxiety due to parenting 4. hunger as a motivating factor
The nurse is identifying care goals for a client who is prone to getting hurt. Which care goal should the nurse select for this client?
1. Assess the client's mental status. 2. Keep the client dependent on the staff for all care. 3. Make all choices for the client. 4. Remain free from injury.