The nurse has completed discharge teaching for a client with an anxiety disorder. Which of the following indicates to the nurse that the client has understood discharge teaching regarding respiratory alkalosis?
1. "I will eat more bananas at breakfast.".
2. "I have signed up for a stress management class.".
3. "I will breather faster when I am feeling anxious.".
4. "I will not take antacids when I have heartburn.".
2. "I have signed up for a stress management class.".
Rationale:
The client understands that reducing anxiety can reduce hyperventilation and respiratory alkalosis. Eating bananas is more appropriate for the client at risk for metabolic alkalosis who is on diuretics. Breathing faster will increase hyperventilation. Taking too many antacids is associated with metabolic alkalosis.
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The U.S. Department of Health and Human Services (USDHHS) acted to make cultural competence a priority in health care. Federal standards were issued that included which of the following?
a. Clients are expected to agree to medical services, regardless of their cultural be-liefs. b. Hiring practices of hospitals should not be affected by these standards. c. Interpreters should be available to all non–English-speaking clients. d. Nursing staff that are of the same culture as the client should care for the client.
A nurse manager is attempting to devise a statement that reflects the purpose of a health care agency. This statement is referred to as which of the following?
a. Core values c. Vision b. Philosophy d. Mission
A person's chest tube comes out. Which action is correct?
a. Call for help. b. Try to reinsert it. c. Cover the insertion site with a Band-Aid. d. Go and get the nurse.
The parent of a preschool-age child asks the nurse what can be done to reduce the number of nightmares the child experiences. What should the nurse suggest to this parent?
1. Provide hot chocolate prior to bedtime. 2. Limit or eliminate television. 3. Engage in a physical activity before bedtime. 4. Play a computer game before bedtime.