An increase in bicarbonate or a decrease in hydrogen ion concentration in a client results in which of these conditions?
a. metabolic acidosis c. respiratory acidosis
b. metabolic alkalosis d. respiratory alkalosis
B
Metabolic alkalosis is caused by excessive ingestion of antacids or milk, or by excessive oral or parenteral administration of sodium bicarbonate or other alkaline salts. In metabolic alkalosis, the blood pH is greater than 7.45 (indicating a lose of H+ ions) and an increase in bicarbonate.
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There are several rules for medication administration that the nurse must always follow. These include: Standard Text: Select all that apply
1. Inform the client. 2. Evaluate the client's response to the drug. 3. Identify the client by asking her which room is hers. 4. Provide client teaching as necessary. 5. Documenting.
The nurse is explaining to nursing assistive personnel (NAP) how to help maintain the patient's intravenous (IV) therapy. What action regarding IV therapy can be delegated to the NAP?
a. Adjusting the infusion rate b. Changing the IV dressing c. Reporting patient complaints d. Administering IV antibiotics
Major hormones are released by the anterior, middle, and posterior divisions of the pituitary gland that have widespread effects on the body
Which is the best explanation of an action of the anterior lobe of the pituitary gland to the client by the nurse? A) Controls bone and tissue growth B) Increases skin and hair pigmentation C) Raises blood pressure D) Promotes water reabsorption in kidney tubules
A nurse has delegated the administration of a tap water enema to the assistive personnel. The assistive personnel demonstrates understanding of the procedure when she states which of the following? Select all that apply
A. "I will lower the enema when the patient complains of cramping." B. "I will speed the enema administration when the patient complains of cramping." C. "I will withdraw the tube when the patient complains of cramping." D. "I will clamp the tubing when the patient complains of cramping."