The nurse teaching a 32-year-old man with renal failure about the pathophysiologic mechanism of acid-base balance recognizes that the instructions have been understood when the client says
a. "Acidic foods must be eliminated from my diet."
b. "I lose too much acid through my kidneys."
c. "My breathing increases to correct imbalances."
d. "My urine output will increase when my pH falls."
C
When kidney disease impairs excretion of fixed acids, the respiratory system can increase venti-lation to "blow off" excess acid as carbon dioxide.
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During a functional assessment of an older person's home environment, which statement or question by the nurse is most appropriate regarding common environmental hazards?
a. "These low toilet seats are safe because they are nearer to the ground in case of falls." b. "Do you have a relative or friend who can help to install grab bars in your shower?" c. "These small rugs are ideal for preventing you from slipping on the hard floor." d. "It would be safer to keep the lighting low in this room to avoid glare in your eyes."
A culture report shows that a patient's oral pharynx is colonized with normal flora. What treatment does the nurse expect?
A) None, since normal flora are protective B) Antiviral treatment C) The test should be repeated. D) Antibiotics
Friendly conversation is an important skill for the student. Friendly conversation is best described as:
1. conversing politely in the clinical area. 2. talking to families about a patient's prognosis. 3. talking cheerfully to friends about your nursing classes and social events. 4. group discussions on nursing topics.
The nurse is caring for several patients on an OB unit and is preparing to pass medications. For which patient or patients would the nurse not question an order for dinoprostone (Prepidil, Cer-vidil)?
a. The patient in need of cervical thinning b. The patient with prolonged labor c. The patient with pelvic inflammatory disease (PID) d. The patient who strongly desires a vaginal delivery