A diabetic client is admitted to a healthcare facility for diarrhea, nausea, vomiting, and
altered mental status. The arterial blood gas (ABG) report of the client shows decreased
pH and decreased HCO3–.
What immediate action should the nurse take?
A) Give a bicarbonate infusion
B) Give Ringer's solution
C) Notify the physician
D) Apply a re-breathing mask
C
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The nurse is caring for a patient who was just made NPO. The nurse is to administer carvedilol (Coreg) 25 mg PO to the patient for control of high blood pressure. What is the best action of the nurse?
a. Crush the medication and administer it to the patient mixed with applesauce. b. Administer the medication to the patient with a small sip of water. c. Contact the patient's physician to clarify the order. d. Administer the equivalent medication dose through the patient's IV.
The nurse can place an older adult into one of four patient rooms. Which is the most suitable room for an older adult?
a. Brightly lit, blue room with cozy throw rugs b. Room with orange carpeting and soft lighting c. Brightly lit, blue room with waxed vinyl floors d. Room for television and children's play-time
The nurse is providing a client with a peritoneal dialysis exchange. The nurse notes the presence of cloudy peritoneal effluent. Which action by the nurse is most appropriate?
a. Document the finding in the client's chart. b. Collect a sample to send to the laboratory. c. Reposition the client on the left side. d. Increase the free water content in the next bag.
When reviewing the mechanism of action of a specific drug, the nurse reads that the drug works by selective enzyme interaction. Which of these processes describes selective enzyme interaction?
a. The drug alters cell membrane permeabil-ity. b. The drug's effectiveness within the cell walls of the target tissue is enhanced. c. The drug is attracted to a receptor on the cell wall, preventing an enzyme from binding to that receptor. d. The drug binds to an enzyme molecule and inhibits or enhances the enzyme's ac-tion with the normal target cell.