Which statement by the client should alert the nurse to a need for further instruction regard-ing an increased risk for metabolic alkalosis?

A. "I don't drink milk because it gives me gas and diarrhea."
B. "I have been taking digoxin every day for the last 15 years."
C. "I take sodium bicarbonate after every meal to prevent heartburn."
D. "In hot weather, I sweat so much that I have to drink at least six glasses of water each day."


C
Excessive oral ingestion of sodium bicarbonate and other bicarbonate-based antacids can cause a metabolic alkalosis.

Nursing

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The nurse is working with a child whose religious beliefs differ from those of the general population. The best nursing intervention to use to meet the specific spiritual needs of this child and family is to:

1. Ask, "How does the child and family's religious/spiritual beliefs impact their practices for health and illness?" 2. Show respect while allowing time and privacy for religious rituals. 3. Ask, "What do you think caused the child's illness?" 4. Identify health care practices forbidden by religious or spiritual beliefs.

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A nurse is being investigated for stealing narcotics from several patients. Which federal agency can become involved in the investigation of this incident?

a. State Board of Nursing b. U.S. Food and Drug Administration c. U.S. Drug Compliance Department d. U.S. Drug Enforcement Agency

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A 79-year-old female client consults the nurse practitioner with reports of vaginal itching, burning and discharge. After the nurse practitioner diagnoses a yeast infection and prescribes nystatin (Mycostatin) suppositories, the client states, "This is th

a. age-related vaginal changes b. decreased ability to perform proper perineal hygiene c. the effects of the multitude of medications taken for chronic medical condi-tions d. decreased fluid intake

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A 45-year-old woman is having a routine examination and has no significant personal or family medical history. What information concerning health-promotion behaviors should the nurse provide to this patient?

1. Ensure an adequate intake of calcium. 2. Plan to have a mammogram every other year. 3. Measure blood pressure every 3 years. 4. Exercise for at least 15 minutes a day 3 days each week.

Nursing