A patient admitted in a state of extreme anxiety has vital signs of: T 98.6° F, P 81, BP 130/86, R 32 . The nurse is aware if this hyperventilation continues, the result will be:
a. metabolic acidosis.
b. metabolic alkalosis.
c. respiratory acidosis.
d. respiratory alkalosis.
D
Respiratory alkalosis is caused by hyperventilation as the lungs blow off large amounts of CO2.
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When nursing registration laws were enacted, a "registered nurse" was defined as someone who had (Select all that apply.)
a. attended an acceptable nursing program. b. fit the definition of a professional nurse. c. had not been convicted of any felonies. d. passed a board evaluation examination. e. studied under a standardized curriculum.
A patient taking amitriptyline (Elavil) is brought to the emergency department confused and agitated. As time progresses, her assessment reveals a heart rate of 120/minute, temperature 104° F, flushing, mydriasis, and blood pressure 170/90
Based on her assessment, which of the fol-lowing would be the nurse's priority action? a. Gastric lavage, activated charcoal, and physostigmine b. Epinephrine and propranolol (Inderal) c. Gastric lavage, activated charcoal d. Cool IV fluids and a cooling blanket
An older client with chronic low back pain asks the nurse if there is anything else besides taking pain medication that the client can do to help with the discomfort. What recommendation can the nurse safely make to the client?
1. Purchase a Tai Chi home exercise program. 2. A yoga class might be helpful to relieve pain. 3. Acupuncture will correct any source of back pain. 4. Take over-the-counter chondroitin or glucosamine.
A resident had a stroke. The person's left side is affected. Which of the following might the person's care plan include?
a. Encourage deep breathing and coughing. b. Turn and reposition every 4 hours. c. Discourage any range-of-motion exercises. d. Perform all ADL for the person.