The nurse correlates which condition with the following arterial blood gas values: pH 7.48, HCO3– 22 mEq/L, PCO2 28 mm Hg, PO2 98 mm Hg?
a. Diarrhea and vomiting for 36 hours
b. Anxiety-induced hyperventilation
c. Chronic obstructive pulmonary disease
d. Diabetic ketoacidosis and emphysema
B
The elevated pH indicates alkalosis. The bicarbonate level is normal, and so is the oxygen partial pressure. Loss of carbon dioxide is the cause of the alkalosis, which would occur in response to hyperventilation. Diarrhea and vomiting would cause metabolic alterations, COPD would lead to respiratory acidosis, and the person with emphysema most likely would have combined metabolic acidosis on top of a mild, chronic respiratory acidosis.
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The nurse is discussing genetic referral with the parents of children being seen in the pediatric clinic. The child who would benefit from a genetic referral is the child whose family has a history of:
1. Prominent epicanthal folds, resonant lungs, or absent tinnitus in Asian families. 2. Broad face, lower-extremity lichenification, or spider angiomas. 3. Normocephalic head, euthyroid, or five digits per extremity. 4. Cleft lip and/or cleft palate, diaphragmatic hernia, or cataract.
The nurse observes a mother telling a toddler that pasta and potatoes will make the child fat. What should the nurse instruct the mother about these food items?
A) Toddlers need carbohydrates for brain function. B) It is more important to restrict protein than carbohydrates. C) No more than 30% of all food should be from carbohydrate sources. D) The child should be instructed to restrict carbohydrates after the age of 5 years.
On the admission assessment of a resident to a long-term care facility, the nurse notes a painless area on the patient's coccyx that has partial skin loss. The nurse would record this as a stage _____ pressure ulcer
Fill in the blank with the appropriate word.
A client who is allergic to morphine has been receiving meperidine (Demerol) 75–100 mg IM every 6 hours for the last 3 days. Five hours after the last dose, the client calls the nursing desk and says, "I need some pain medication
I am hurting so badly that I am shaking." What should the nurse do? Standard Text: Select all that apply. 1. Administer the 100 mg dose. 2. Administer the 75 mg dose. 3. Administer 50 mg of meperidine. 4. Collaborate with the client's health care provider regarding the medication and schedule. 5. Ask the client when the shaking first began.