The nurse taps the facial nerve on the right side and the right side of the patient's face twitches. This assessment finding may indicate which electrolyte imbalance?
a. hypomagnesemia c. hyperkalemia
b. hyponatremia d. hypercalcemia
A
A positive Chvostek's sign is associated with hypomagnesemia in addition to hypocalcemia. Muscle weakness is associated with hyponatremia, hyperkalemia, and hypercalcemia.
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The nurse is caring for a client who has previously had a sacral decubiti that has completely healed. In developing the risk profile for skin breakdown, the nurse recognizes that a prior pressure ulcer would
A) heal faster with reinjury. B) break down faster with reinjury. C) have no sensation in the injured area. D) be at risk for infection even with intact skin.
The nurse is transferring to a high-acuity unit where many patients receive intermittent hemodialysis. Which patient characteristic would the nurse expect?
1. Patients whose hemodynamic status requires slow removal of waste products 2. Patients whose kidney injury will resolve since intermittent dialysis is only done temporarily 3. Patients whose blood pressure and heart rate can be stabilized 4. Patients who have few imbalances in electrolyte levels
A patient has the following lab values: pH 7.29, CO2 49, HCO3 23. You know that this is an example of:
A. Metabolic Acidosis B. Metabolic Alkalosis C. Respiratory Acidosis D. Respiratory Alkalosis
The nurse is working with a client who becomes upset and tells the nurse, "I've decided to give up on finishing my bachelor's degree"
Which response best reflects the nurse's belief that the client is able to find the solution to this concern? 1. "You don't need to make a decision about this right now." 2. "It is probably too much for you to handle right now." 3. "If you put your mind to it, you could finish the program." 4. "It sounds like you feel it is too much for you to finish now."