The physician orders daily administration of thiamine for a chronic alcoholic who has been hospitalized for alcohol withdrawal. When the client asks the nurse what thiamine is for, which is the appropriate nursing response?
A) "To restore nutritional balance."
B) "To prevent pancreatitis."
C) "To prevent alcoholic hepatitis."
D) "To prevent Wernicke encephalopathy."
D
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A critically ill patient has arterial blood gas results of pH 7.35, PaCO2 55 mm Hg, and HCO3 28 mEq/L. How does the nurse interpret these results?
A) Respiratory acidosis B) Metabolic alkalosis C) Partially compensated metabolic alkalosis D) Fully compensated respiratory acidosis
The nurse would be especially alert for the development of which of the following when administering an antihistamine to an older adult? Select all that apply
A) Hypotension B) Hypertension C) Dry mouth D) Insomnia E) Sedation
The nurse is working with a group of clients on a unit with mental retardation. Which of the following is the recommendation for environmental safety when clients have poor cognitive function?
1. Use measures to decrease agitation 2. Schedule ADLs at a regular time daily 3. Turn the temperature down on the hot water heater 4. Provide aids to assist with orientation
Incontinent patients should be checked frequently—a minimum of every two hours or less if the patient has diarrhea
Indicate whether the statement is true or false.