A client with a nasogastric tube connected to low continuous suction has the following arterial blood gas (ABG) results:

pH 7.49, PaO2 91, PaCO2 42, and HCO3 31. Interpreting these result, the nurse concludes that the client is in:
1. metabolic acidosis.
2. metabolic alkalosis.
3. respiratory acidosis.
4. respiratory alkalosis.


2
Because the pH is greater than 7.45, this is not an acidosis. The PaCO2 is within normal limits. The HCO3 is elevated. An elevated pH and HCO3 indicates metabolic alkalosis.

Nursing

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A community health nurse is assisting with the evaluation of outcomes of a program. The client's response to care is being measured quantitatively. The nurse identifies this as which of the following?

A) Benchmarking B) Quality indicators C) Process D) Structure

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A patient states that her 5-year-old daughter is always running up to relatives and friends and wants to give them a big hug and kiss. The patient asks if her daughter is appropriate in her ac-tions

What is the most appropriate reply based on the concepts of functional communication? a. "Your daughter's actions are definitely dysfunctional." b. "Your daughter is just being a ‘little girl' and will outgrow being so affectionate." c. "Your daughter is going through a normal developmental phase." d. "Does your mother-in-law show signs of affection toward your daughter?"

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The nurse is preparing to counsel a 46-year-old woman who has been postmenopausal for 1 year about the common health risks associated with menopause. What should the nurse include in this teaching?

Select all that apply. 1. hypertension 2. heart disease 3. diabetes 4. macular degeneration 5. osteoporosis

Nursing

When teaching the patient about a new medication, the nurse should include which information?

1. Adverse effects that can be expected 2. Which adverse effect to report to the health care provider 3. The drug's therapeutic action 4. Chemical composition of the drug 5. Name of the drug manufacturer

Nursing