The nurse is caring for a client with severe diarrhea, nausea and vomiting. Expected findings upon physical assessment and review of laboratory studies include:(Select all that apply) Standard Text: Select all that apply
1. Increased breathing
2. Change in level of consciousness
3. pH below 7.35
4. pH above 7.35
5. Low bicarbonate level
1,2,3,5
Rationale: The respiratory system increases breathing to try to blow off excess acid
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After identifying problems and etiologies and prior to writing a nursing diagnosis statement, the nurse would:
a. Verify the nursing diagnosis with the patient b. Verify information with the primary care provider c. Check the medical diagnosis for consistency in treatments d. Review the data and the diagnosis with another nurse
A patient has been taking methadone [Dolophine] for 5 months to overcome an opioid addiction. The nurse should monitor the patient for which of the following electrocardiographic changes?
a. Prolonged QT interval b. Prolonged P-R interval c. AV block d. An elevated QRS complex
A parent needs to leave a hospitalized toddler for a short period of time. What action should the nurse suggest to the parent to ease the separation for the toddler?
a. Bring a new toy when returning. b. Leave when the child is distracted. c. Tell the child when they will return. d. Leave a favorite article from home with the child.
When educating clients on the parts and functions of the ear, the nurse identifies which
as the function of the semicircular canal? A) Sends sensory information to the cerebellum and the midbrain B) Begins the transmission of nerve stimuli related to sound C) Transmits information on the body's position to the brain D) Equalizes the pressure in the middle ear with atmospheric pressure