When a patient with acute kidney injury (AKI) has an arterial blood pH of 7.30, the nurse will expect an assessment finding of
a. persistent skin tenting
b. rapid, deep respirations.
c. bounding peripheral pulses.
d. hot, flushed face and neck.
ANS: B
Patients with metabolic acidosis caused by AKI may have Kussmaul respirations as the lungs try to regulate carbon dioxide. Bounding pulses and vasodilation are not associated with metabolic acidosis. Because the patient is likely to have fluid retention, poor skin turgor would not be a finding in AKI.
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The amount of pain a person is willing to endure is referred to as ______________ ______________
ANS:
It is true that melanin is:
a. Rarely found in epithelial cells b. Found in cells called keratinocytes, which are present in the retina c. A factor in the prevention of certain types of cancer d. Most influential in managing the effects of short-term sunlight exposure e. Accumulated in specific cells found in the skin
During a prenatal visit, a nurse discovers that a Black woman has been occasionally craving and eating clay. Which of the following actions should be taken by the nurse?
a. Tell the client that many pregnant women crave such nonfood substances, and it is not a problem. b. Ignore the comment because pica is acceptable in some rural Black cultures. c. Encourage the client to eat it with plenty of water because of the risk of constipation. d. Stress the importance of an appropriate diet and avoiding pica in a culturally sensitive way.
When washing the perineal area, use a large amount of soap, because this area is very contaminated.
Answer the following statement true (T) or false (F)