The nurse determines that which arterial blood gas values are consistent with ketoacidosis in the client with diabetes?
a. pH 7.38, HCO3– 22 mEq/L, PCO2 38 mm Hg, PO2 98 mm Hg
b. pH 7.28, HCO3– 18 mEq/L, PCO2 28 mm Hg, PO2 98 mm Hg
c. pH 7.48, HCO3– 28 mEq/L, PCO2 38 mm Hg, PO2 98 mm Hg
d. pH 7.28, HCO3– 22 mEq/L, PCO2 58 mm Hg, PO2 88 mm Hg
B
When the lungs can no longer offset acidosis, the pH decreases to below normal. The arterial blood gases show primary metabolic acidosis with decreased bicarbonate levels and a compen-satory respiratory alkalosis with decreased carbon dioxide levels.
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When a nurse is adding additional dressings to a sterile field, which of these steps is correct?
a. Grasp the bottom, use a sterile clamp to remove dressing, and drop it anywhere on the field. b. Place the unopened package directly on the field. c. Grasp top flaps, pull downward, and drop dressing in center of field. d. Hold the sides, pull them outward, and drop dressing on the field.
The nurse preparing an educational program focused on herbal supplement targets as a likely in-terested group:
a. Inner-city females who live below the poverty level b. White females who own their own suc-cessful businesses c. Male Hispanic Americans who are single, divorced, or widowed d. Men and women from small rural commu-nities who are self-employed farmers
There is a high risk of respiratory depression with administration of an opiate medication in patients with:
A. Chronic obstructive pulmonary disease B. Congestive heart failure C. Obstructive sleep apnea D. A and C
The adult internal rectal sphincter is controlled by the:
a. autonomic nervous system. b. central nervous system. c. lumbar spinal reflexes. d. sacral spinal reflexes.