The nurse is verbalizing her new knowledge of respiratory and metabolic acids and bases. Which statement indicates that the nurse needs more information?
1. "Body metabolism produces lactic acids, which are constantly eliminated in the lungs.".
2. "Carbon dioxide is a potential acid that is excreted through the lungs.".
3. "When hydrogen ions combine with carbon dioxide, carbonic acid is produced.".
4. "Sodium bicarbonate buffers the blood by removing hydrogen ions from the blood.".
"Body metabolism produces lactic acids, which are constantly eliminated in the lungs.".
Rationale: Body metabolism produces carbon dioxide that is eliminated through the lungs. Lactic acids occur during anaerobic metabolism and are eliminated through the kidneys and the liver. The other answer choices are correct and indicate that the new nurse understands respiratory and metabolic acids and bases.
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Florence Nightingale is noted to have provided the initial basis for evidence-based practice (EBP). She did this by: (Select all that apply.)
a. basing her work in trial and error as well as observation. b. using statistical data as a basis for improvements. c. applying statistical methods such as "pie charting" to display results. d. focusing on bedside care and ignoring nursing education. e. publishing the first EBP journal.
The novice nurse manager is hesitant to delegate tasks to competent, experienced nurses. Which is most likely to explain this hesitancy? Fear of:
1. Overburdening others. 2. Decreased personal satisfaction. 3. Increased liability. 4. Competition and criticism.
The family of a victim of a gunshot wound is asking emergency department personnel if they could find out the status of their family member. To help this family, the nurse should:
1. Contact social services or the hospital chaplain to provide support while they wait. 2. Suggest the family go to the cafeteria to get something to eat or drink. 3. Suggest the family return home, and the hospital will phone them with any information. 4. Escort the family to see the client.
A newly married couple worried about fertility asks the nurse for counseling. They have been trying to conceive for four months with no success
The husband is 38 and the wife is 29. They had previously used combination oral contraceptives as a way to prevent pregnancy. What is the best advice for the nurse to give them? A) They are not considered infertile until they have spent 12 months trying to conceive B) They should seek fertility counseling C) They should increase intercourse frequency to four times a week around the time of ovulation D) They should undergo comprehensive diagnostic testing