The nurse is caring for a client admitted through the Emergency Department with a diagnosis of acute, severe gastritis. The client reports 18-20 diarrhea stools per day for the past three days
Which of the following blood gas results would be consistent with this diagnosis? 1. pH 7.46, pCO2 22, HCO3 24
2. pH 7.30 pCO2 38, HCO3 18
3. pH 7.39, pCO2 38, HCO3 24
4. pH 7.28, pCO2 49, HCO3 22
2
Rationale: The expected arterial blood gas result would reveal a metabolic acidosis as demonstrated by answer option 2. Option 1 demonstrates a respiratory alkalosis, option 3 is a normal blood gas, and option 4 shows respiratory acidosis, which would not be consistent with the client's diagnosis.
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A nurse is caring for clients as a member of the rehabilitation team. Which activities should the nurse complete as part of the nurse's role? (Select all that apply.)
a. Maintain the safety of adaptive devices by monitoring their function and making repairs. b. Coordinate rehabilitation team activities to ensure implementation of the plan of care. c. Assist clients to identify support services and resources for the coordination of services. d. Counsel clients and family members on strategies to cope with disability. e. Support the client's choices by acting as an advocate for the client and family.
The postoperative client displays sudden chest pain, shortness of breath, cyanosis, tachycardia, and low blood pressure. The nurse suspects which postoperative complication?
1. Pneumonia 2. Atelectasis 3. Hypovolemia 4. Pulmonary embolism
In the nursing interventions for a patient receiving external radiation treatments for a malignancy, the nurse must remember to
a. cleanse with soap and water the areas of entry or "ports" marked by the radiologist. b. apply some form of ointment with a metallic base to the area of entry each time the patient goes for x-ray treatments. c. instruct the patient to avoid irritating the "ports" by not lying on that part of the body and not wearing constricting clothing. d. isolate the patient so he will not expose others to radiation.
When the child says, "The trees go to sleep in the winter," the nurse recognizes this as an example of ____________
Fill in the blank(s) with correct word