A patient had gastric surgery 10 days ago and continues to require gastric suction because of a paralytic ileus. The patient reports tingling in the fingers, has hypertonic reflexes,

and has a respiratory rate of 8 breaths per minute that are deep in nature. The nurse recognizes that these symptoms are consistent with which diagnosis?
a. Respiratory alkalosis
b. Metabolic acidosis
c. Respiratory acidosis
d. Metabolic alkalosis


ANS: D

Nursing

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A patient has undergone rigid fixation for the correction of a mandibular fracture suffered in a fight. What area of care should the nurse prioritize when planning this patient's discharge education?

A) Resumption of activities of daily living B) Pain control C) Promotion of adequate nutrition D) Strategies for promoting communication

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The new graduate nurse is assessing a client with an unrepaired abdominal aortic aneurysm. What assessment technique requires further education by the supervising nurse?

a. Measurement of abdominal girth b. Observation of abdominal wall movement c. Auscultation of any area of the abdomen d. Palpation of the abdominal midline area

Nursing

The nurse has instructed a patient on the home use of a machine to treat sleep apnea. Which of the following would indicate that the patient understands the instructions?

1. Patient demonstrates the use of the machine and the application of the mask. 2. Patient points to the instructions. 3. Patient says, "I know how to do it.". 4. Patient looks to her husband and says, "Do you have any questions?"

Nursing

You are assisting a person with a transfer from the wheelchair to the bed. During the transfer, the person starts to fall. What equipment must be in place to ensure the person's safety? What should you do?

What will be an ideal response?

Nursing