Nokea
A physician is monitoring intravenous fluids for someone who is currently being treated for metabolic acidosis. The physician monitors his signs and symptoms typical of metabolic acidosis which include:
- A. Elevated blood pressure,bradycardia,elevated respiratory rate and muscle twitching.
- B. Hypotension altered heart rate elevated respiratory rate and muscle weakness.
- C. Hypertension tachycardia slowed respiratory rate and muscle spasms.
- D. Hypotension hypoxia irritability and paresthesia.
Correct Answer: B
Rationale: The correct answer is Hypotension, altered heart rate, elevated respiratory rate, and muscle weakness (B). Metabolic acidosis causes the body to compensate by increasing respiratory rate to blow off CO2, leading to hyperventilation. Other symptoms include hypotension, altered heart rate, and muscle weakness due to electrolyte imbalances.
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- B. Treat infections
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- D. None of the above
Correct Answer: A
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- A. I eat whole-wheat bread with my meals.'
- B. I eat fruit three times a day.'
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- D. I don't like to take enemas.'
Correct Answer: C
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- A. Listen to the client express grief or loss.
- B. Assist client to ambulate in hall.
- C. Orient client to surroundings.
- D. Encourage independence.
Correct Answer: B
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For which condition would the use of salt tablets be considered?
- A. Mild deficits of serum sodium
- B. Severe deficits of serum magnesium
- C. Severe deficits of serum potassium
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Which client(s) would be best to assign to an experienced nurse in an ambulatory eye surgery center? (Choose all that apply.)
- A. A client who needs post-operative instructions for cataract surgery.
- B. A client who needs an eye-pad and a metal shield applied.
- C. A client who needs home health referral for dressing changes and eye drops.
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Correct Answer: A
Rationale: Clients requiring complex post-operative instructions, such as those for cataract surgery, benefit most from the expertise of an experienced nurse.