Nokea
A child has been having an asthma attack for the last 8 hours. Because of the child's inability to exhale effectively the nurse assesses for respiratory __.
Correct Answer: acidosis
Rationale: Retained CO2 will lead to respiratory acidosis.
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What should the nurse focus on when creating a nursing care plan for a patient with metabolic acidosis?
- A. Frequent periods of ambulation
- B. Increasing fluid intake
- C. Decreasing fluid intake
- D. Deep-breathing exercises
Correct Answer: D
Rationale: Deep breathing will cause the patient to blow off CO2 and assist in increasing the pH and reduce the acidity.
The nurse uses a diagram to show that fluids in the interstitial and intravascular compartments are combined. What do they combine to form?
- A. Intercellular compartment
- B. Circulating compartment
- C. Vertical compartment
- D. Extracellular compartment
Correct Answer: D
Rationale: The fluids in the interstitial and intravascular compartments are combined to form the extracellular compartment.
The nurse encourages a patient who has been vomiting to drink fluids because the body fluid lost daily must match the amount of fluid taken in to maintain homeostasis. What is the recommended daily amount of fluid for an adult?
- A. 1000 mL
- B. 1500 mL
- C. 2050 mL
- D. 2500 mL
Correct Answer: D
Rationale: Daily fluid intake and output is about 2200 to 2700 mL/day, and urinary output is about 1000 to 2000 mL/day.
Electrolytes are not measured by weight; their chemical activity is expressed in milliequivalents. What does 1 mEq of potassium have the same combining power as?
- A. 1 mEq of nitrogen
- B. 1 mEq of oxygen
- C. 1 mEq of hydrogen
- D. 1 mEq of magnesium
Correct Answer: C
Rationale: Electrolytes are measured in milliequivalents: 1 mEq of any electrolyte is equal to 1 mEq of hydrogen.
What is the nurse closely assessing for in a patient with hypokalemia?
- A. Systemic edema
- B. Cardiac complications
- C. Muscle cramping
- D. Impaired kidney function
Correct Answer: B
Rationale: Hypokalemia can affect cardiac function.