The client has been vomiting for several days. The nurse would assess the client for which acid–base disturbance?
1. Metabolic acidosis
2. Respiratory alkalosis
3. Metabolic alkalosis
4. Respiratory acidosis
Correct Answer: 3
Rationale 1: Metabolic acidosis will not occur as a result of vomiting.
Rationale 2: Respiratory alkalosis will not occur as a result of vomiting.
Rationale 3: Metabolic alkalosis will result from excessive loss of hydrochloric acid from the stomach brought on by prolonged vomiting.
Rationale 4: Respiratory acidosis will not occur as a result of vomiting.
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After the examination of an infant, the nurse documents opisthotonos. The nurse recognizes that this finding often occurs with:
a. Cerebral palsy. b. Meningeal irritation. c. Lower motor neuron lesion. d. Upper motor neuron lesion.
Which of the following advice should the nurse give a client with dermatitis until the etiology of the dermatitis is identified?
A) Use wool, synthetics, and other dense fibers. B) Wear rubber gloves when in contact with soaps. C) Rub the skin vigorously to dry. D) Use hot water for bathing.
Hypertension is diagnosed on the basis of one blood pressure measurement of at least 140/90
Indicate whether the statement is true or false.
A patient pregnant with a fetus diagnosed with Down syndrome is weighing the consequences of carrying the baby to term. Which information should the nurse consider regarding the possible concerns for a child with Down syndrome?
A) Suffer from severe retardation B) Higher risk of developing leukemia than those in the general population C) Are cognitively impaired and often threatens the safety of others in their homes and neighborhoods D) Have many needs and there are so many demands on the family that the family structure rarely holds up