The patient has ingested large amounts of narcotics and has a respiratory rate of 8 per minute. Which acid-base disturbance is the patient at risk for?
a. respiratory acidosis c. metabolic acidosis
b. respiratory alkalosis d. metabolic alkalosis
A
Respiratory acidosis is caused by hypoventilation or any condition that depresses ventilation. Hypoventilation can occur in respiratory failure or from drug overdose. Common central nervous system depressants include narcotics, barbiturates, and anesthetic agents. Respiratory alkalosis is caused by hyperventilating. Metabolic acidosis is characterized by an increase in hydrogen ion concentration. Metabolic alkalosis is caused by an increased loss of acid from the body or a gain in base.
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1. Assisting with changes in diet 2. Monitoring blood glucose 3. Providing enteral nutrition 4. Feeding the client
The nurse would consider which of the following clients to be at greatest risk for postpartum hemorrhage?
A) the client who delivered a preterm infant at 34 weeks' gestation B) the client who delivered twins by cesarean section C) the client who has a temperature of 100.1F just after delivery D) the client who labored for 15 hours with a 45-minute second stage
Lithium carbonate is ordered for a new patient on your floor. You know that lithium carbonate is the drug of choice for:
A) Schizophrenia B) Major depression C) Bulimia D) Bipolar depression
Flurazepam (Dalmane) is classified as a long-acting benzodiazepine. The antianxiety effects of flurazepam are usually evident the day after taking the flurazepam dose. Select the precaution that you will emphasize to a patient when you give him the prescription the doctor has written.
A. Do not take other antianxiety agents at the same time. B. Do not drink alcohol while taking flurazepam. C. Avoid hazardous activities. D. All of the above are correct.