A client is admitted to the hospital with severe vomiting and is diagnosed with metabolic alkalosis. The nurse anticipates that the laboratory value that would support this diagnosis is
a. arterial carbon dioxide tension (PaCO2) of 30 mm Hg.Q
b. arterial pH of 7.30.
c. serum calcium level of 9.0 mEq/L.
d. serum potassium level of 3.0 mEq/L.
D
In metabolic alkalosis, hypokalemia results from fluid shifts or intestinal losses because its con-centration as a cation is affected by the state of hydrogen ions.
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During a well-child visit, the mother tells the nurse that her 11-year-old child is having problems controlling his temper. The mother states that when he gets mad, he often destroys things including his own possessions
The child recently smashed his bicycle, and the mother wonders how she should handle him. The nurse would suggest: 1. Spanking him when he displays this behavior because he knows better. 2. Not replacing the bike and explaining to him that when he breaks something, it will not be replaced. 3. When the child gets angry, the mother will need to yell at the child in order for the child to hear her response. 4. Discussing the child's behavior with the pediatrician so that the child can be placed on mood-altering medications.
Which action would the nurse teach to help the client prevent vulvovaginitis?
a. Wipe back to front after urination. b. Cleanse the inner labial mucosa with soap and water. c. Use feminine hygiene sprays to avoid odor. d. Wear loose cotton underwear.
The nurse designing a sex education program for school-age children ensures that the information:
a. Will satisfy all questions regarding sex b. Is reflective of the nurse's personal values c. Is technical and specific d. Is carried out at their level of understanding
The nurse caring for several clients on a hospital unit notices that the American client makes eye contact with the staff, while an older adult client of Japanese descent does not make eye contact when speaking to the staff
What cultural concept explains this difference? A) Cultural dissonance B) Cultural negativity C) Cultural relativity D) Cultural neutrality