A young adult patient is admitted to the hospital for evaluation of severe weight loss. The nurse admitting this patient notes that the patient has missing teeth and severe tooth decay
The patient's blood pressure is 160/98 mm Hg. The patient has difficulty answering questions and has trouble remembering simple details. The nurse suspects abuse of which substance?
a. Cocaine
b. Ecstasy
c. Marijuana
d. Methamphetamine
ANS: D
Methamphetamine causes all of the symptoms shown by this patient. These are not symptoms associated with cocaine, Ecstasy, or marijuana.
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Which of the following interventions does not promote sleep in the ICU patient?
A) Five-minute back rub B) Leave television on C) Turn down lights D) Block sleep times
Directions: Refer to the portion of the MAR provided below to answer the question
Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGIES: Penicillin, Codeine Date: 5/2/2014 Order Date Exp. Date RN Initial Medication-Dosage, Frequency, Route Date 2012 5/2 5/3 5/4 5/5 5/6 5/7 5/8 Time Initial Initial Initial Initial Initial Initial Initial 5/2/14 6/2/14 DG Heparin 5,000 units subcut daily 0900 5/2/14 6/2/14 DG K-Dur 10 mEq p.o. b.i.d. 0900 1700 5/2/14 5/5/14 DG Percocet 2 tabs p.o. q6h p.r.n. for moderate pain What are the client's medication allergies? ______________
Becky has delivered twins. The first twin was stillborn, and the second is in the intensive care nursery, recovering quickly from respiratory distress. Becky is crying softly and says, "I wish my baby could have lived"
The most therapeutic response is: a. "Don't be sad. At least you have one healthy baby." b. "How soon do you plan to have another baby?" c. "I have a friend who lost a twin and she's doing just fine now." d. "I am so sorry about your loss. Would you like to talk about it?"
The client has a blood pH of 7.25, decreased bicarbonate level, and a PaCO2 of 38 mm Hg. The nurse interprets these arterial blood gas values to mean that the client is in:
1. metabolic acidosis. 2. respiratory acidosis. 3. metabolic alkalosis. 4. respiratory alkalosis.