A nurse assesses a client who is receiving total parenteral nutrition. For which adverse effects related to an acid-base imbalance should the nurse assess? (Select all that apply.)
a. Positive Chvostek's sign
b. Elevated blood pressure
c. Bradycardia
d. Increased muscle strength
e. Anxiety and irritability
ANS: A, E
A client receiving total parenteral nutrition is at risk for metabolic alkalosis. Manifestations of metabolic alkalosis include positive Chvostek's sign, normal or low blood pressure, increased heart rate, skeletal muscle weakness, and anxiety and irritability.
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When the nurse is auscultating the carotid artery for bruits, which of these statements reflects the correct technique?
a. While listening with the bell of the stethoscope, the patient is asked to take a deep breath and hold it. b. While auscultating one side with the bell of the stethoscope, the carotid artery is palpated on the other side to check pulsations. c. While lightly applying the bell of the stethoscope over the carotid artery and listening, the patient is asked to take a breath, exhale, and briefly hold it. d. While firmly placing the bell of the stethoscope over the carotid artery and listening, the patient is asked to take a breath, exhale, and briefly hold it.
A student who recently began studying in a nursing program has chosen to join the Health Occupations Students of America (HOSA). As a member of HOSA, the student has an opportunity to
A) sit as an affiliate on the state board of nursing. B) develop a fuller understanding of nursing as a profession. C) provide input to the school's nursing curriculum D) become a graduate a few weeks earlier than students who do not belong to HOSA.
A male client is considered infertile. He asks the nurse why drug companies aren't developing drugs to treat this problem. What is the best response by the nurse?
1. "It's difficult because the medications have many side effects that men do not like." 2. "It's difficult because about 25% of infertile men also have erectile dysfunction." 3. "It's difficult because only about 5% of infertile men have an endocrine problem." 4. "It's difficult because many men do not want to even admit they have a problem."
The nurse clarifies that the continuous positive airway pressure (CPAP) machine decreases the incidence of episodes of sleep apnea by:
a. stimulating inspiration to be deeper. b. taking over respiratory activity when the patient ceases to breathe. c. sounding an alarm if respirations have ceased. d. keeping alveoli from collapsing.