A child with acute asthma has a PaCO2 of 48 mmHg, a pH of 7.31, and a normal HCO3 blood gas value. The nurse interprets these findings as indicative of which condition?
A) Metabolic acidosis
B) Respiratory alkalosis
C) Respiratory acidosis
D) Metabolic alkalosis
Answer: C
If the pH is decreased and the PaCO2 is increased with a normal HCO3, it is uncompensated respiratory acidosis. In addition, croup can be a disease process that causes respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH, decreased PaCO2, and normal HCO3. Uncompensated metabolic acidosis has a decreased pH, normal PaCO2, and normal HCO3. Uncompensated metabolic alkalosis has an increased pH, normal PaCO2, and increased HCO3.
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A wife has just received the news that her husband died of heart failure. She has called her family to
come to the hospital. She approaches the nurse who cared for her husband during his last hours and, in the middle of the corridor, shouts angrily "If you had given him your undivided attention instead of running off to care for others, he would still be alive.". The best response for the nurse to make would be a. "You are mistaken. Your husband's heart was so severely damaged that it could no longer pump.". b. "I will call my supervisor to discuss this matter with you.". c. "I understand you are feeling very upset. Let's go into this room and I will stay with you until your family comes.". d. "It will be all right if you give in and cry.".
The healthcare provider suggests that a 65-year-old female patient take 1200 mg of calcium supplements every day. Before the patient leaves the clinic, what suggestions should the nurse make when instructing the patient about this supplement?
Select all that apply. 1. Take 600 mg of calcium with lunch. 2. Take 600 mg of calcium with breakfast. 3. Take 400 mg of calcium with breakfast, lunch, and dinner. 4. Take 600 mg of calcium with breakfast and 600 mg at bedtime. 5. Take the full dose of 1200 mg of calcium in the morning on an empty stomach.
Which is achieved by assessing each patient's nutritional status? Select all that apply
1) Identifying deficiencies 2) Illuminating dietary patterns that could contribute to health problems 3) Providing a basis to plan for optimal nutrition 4) Establishing a baseline for evaluation 5) Monitoring snack intake
The nurse manager observed that the patients' trash cans were not being emptied by the night shift personnel. The nurse manager decided to set up a rotation schedule so that all night shift personnel would be responsible for emptying the trash cans
This is an example of: a. Preventing workplace civility b. Preventing burnout c. Preventing horizontal violence d. Preventing vertical violence