Nokea
Which of the following compensatory actions by the body would occur if a client were in respiratory acidosis?
- A. Excretion of bicarbonate (HCO₃⁻) by the kidneys.
- B. Retention of HCO₃⁻ by the kidneys.
- C. Increase in respiratory rate by the lungs.
- D. Decrease in respiratory rate by the lungs.
Correct Answer: B, C
Rationale: In respiratory acidosis, the body compensates by retaining bicarbonate (HCO₃⁻) in the kidneys and increasing respiratory rate to eliminate excess CO2.
You may also like to solve these questions
The nurse is caring for a child with sickle cell anemia who is experiencing a vaso-occlusive crisis. Which of the following interventions is the priority?
- A. Administer oxygen.
- B. Provide hydration.
- C. Apply warm compresses.
- D. Administer analgesics.
Correct Answer: B
Rationale: Hydration is the priority in vaso-occlusive crisis to reduce blood viscosity and promote circulation, preventing further sickling and complications.
Conflicts, according to Lewin, include which types of conflict? Select all that apply.
- A. Conceptualization conflicts
- B. Avoidance - Avoidance conflicts
- C. Approach - Approach conflicts
- D. Resolvable conflicts
- E. Unresolvable conflicts
- F. Double Approach - Avoidance conflicts
- G. Approach-Avoidance conflicts
Correct Answer: B,C,F,G
Rationale: According to Lewin's conflict theory, the types of conflict include Avoidance-Avoidance , Approach-Approach , Double Approach-Avoidance (F), and Approach-Avoidance (G). Conceptualization, resolvable, and unresolvable conflicts are not part of Lewin's framework.
A nurse performs care on the client's Hickman catheter according to hospital policy. The client develops an infection and is considering litigation. The nurse's practice is:
- A. Malpractice
- B. Hespondeat superior
- C. Negligent
- D. Tort
Correct Answer: B
Rationale: Respondeat superior is Latin for 'The master is responsible for the acts of his servant'. The nurse, as an employee of the hospital, acted according to the established policy of the hospital. Because the nurse followed hospital policy, it is unlikely that this incident involved malpractice, negligence, or tort law. (CN: Management of care; CL: Evaluate)
The nurse is teaching a client with hypertension about lifestyle modifications. Which of the following recommendations is most effective in reducing blood pressure?
- A. Increasing dietary potassium intake.
- B. Reducing daily sodium intake.
- C. Drinking one glass of red wine daily.
- D. Taking a daily multivitamin.
Correct Answer: B
Rationale: Reducing sodium intake is highly effective in lowering blood pressure by decreasing fluid retention and vascular resistance.
The nurse cares for a client receiving fludrocortisone acetate for the treatment of Addison's disease. When monitoring the client for improvement, what anticipated therapeutic effect of this medication will the nurse focus on?
- A. Promote electrolyte balance.
- B. Stimulate thyroid production.
- C. Stimulate the immune response.
- D. Stimulate thyrotropin production.
Correct Answer: A
Rationale: Fludrocortisone acetate is a long-acting oral medication with mineralocorticoid and moderate glucocorticoid activity that may be used for long-term management of Addison's disease. Mineralocorticoids act on the renal distal tubules to enhance the reabsorption of sodium and chloride ions and the excretion of potassium and hydrogen ions. The client can rapidly develop hypotension and fluid and electrolyte imbalance if the medication is discontinued abruptly. The medication does not affect the immune response or thyroid or thyrotropin production.