Which type of acid-base imbalance is most common among clients with COPD?

A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis


A
The major problem is poor gas exchange with extreme amounts of carbon dioxide being retained. Some of the carbon dioxide is converted to hydrogen ions in the cells and extracellular fluid. The increased level of hydrogen ions leads to acidosis and is reflected by a lower than normal arterial blood pH.

Nursing

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A research study offers elderly men who have, in the past, been prison inmates $1,500 for participation in an all-day workshop at which they agree to be hypnotized and tell stories of incarceration, which are later published

The research participants are allowed to listen to the tapes of what they say under hypnosis and to withdraw permission to use any part of the information. Why is this scenario a violation of self-determination? a. Allowing participants to withdraw permission to use part of the research information violates the study integrity and represents deception. b. It is an example of coercion. c. Prisoners are a vulnerable population and should not be used as research subjects. d. What is said under hypnosis may not be true.

Nursing

Prior to obtaining a stool specimen for occult blood, the patient should receive which of the following instructions by the nurse?

a. Avoid red-colored gelatin for 3 days. c. Eat no meats for 3 days. b. Eat fish for 3 days. d. Avoid red-colored beverages for 3 days.

Nursing

The American Heart Association recommends increased consumption of omega-3 fatty acids to reduce risk of cardiac disease

What foods could the nurse recommend to a client who wants to increase consumption of foods higher in omega-3 and omega-6 fatty acids? 1. Two servings per day of organically grown whole wheat 2. One serving per week of free-range grown chicken that is served skinless 3. One serving per week of shellfish, like shrimp or oysters 4. Two servings per week of deep water fish, like salmon or tuna

Nursing

A client who has been receiving therapy with tetracycline reports itching and yellowish discoloration of the skin. The nurse knows these symptoms could be associated with which adverse effect of tetracycline?

1. Cholestatic hepatitis 2. Acute pancreatitis 3. Fatty degeneration of the liver 4. Exfoliative dermatitis

Nursing