The nurse knows that if a client is retaining too much hydrogen or losing too much bicarbonate, it can result in which of these conditions?
a. metabolic acidosis c. respiratory acidosis
b. metabolic alkalosis d. respiratory alkalosis
A
Metabolic acidosis is caused by kidney disease, vomiting, diarrhea, diabetes mellitus, or use of diuretics. In metabolic acidosis, the blood pH is below 7.35 (indicating an increase in H+ ions or a loss of bicarbonate).
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A woman has presented to the emergency department after cutting her hand badly on the blade of a food processor. The pain that this woman is currently experiencing is the result of
A) the release of intracellular potassium into the woman's hand. B) activation of the woman's delta and C nociceptors. C) the release of gamma-aminobutyric acid (GABA) into the woman's synapses. D) injury to woman's afferent fibers.
A nurse is preparing a plan of care for an older adult client who is receiving sulfonamide therapy. Which of the following would the nurse include in the plan of care to reduce the likelihood of causing renal damage? Select all that apply
A) Administer sulfonamides once daily. B) Increase fluid intake up to 2000 mL if tolerated. C) Use sulfonamides cautiously in clients with renal impairment. D) Administer the dose intravenously instead of orally. E) Ask the prescriber to change the medication ordered.
The nurse planning community events for older people uses sociologic theories to guide practice. Which activity planned by the nurse best fits these theories?
a. Group exercise programs b. Volunteering at a day care c. Healthy cooking classes d. Reminiscing therapy
The nurse in a fertility clinic is working with a woman who has been undergoing infertility treatment with clomiphene citrate. Which statement would the nurse expect the woman to make?
1. "I feel moody so much of the time." 2. "If this doesn't work, I think my husband will leave me." 3. "This medication will guarantee a pregnancy." 4. "My risk of twins or triplets is the same as for the general population."