Nokea
You are admitting an elderly client to the medical unit. Which factor indicates that this client has a risk for acid-base imbalances?
- A. Myocardial infarction 1 year ago
- B. Occasional use of antacids
- C. Shortness of breath with extreme exertion
- D. Chronic renal insufficiency
Correct Answer: D
Rationale: The correct answer is D: Chronic renal insufficiency. Chronic renal insufficiency can lead to metabolic acidosis or alkalosis due to impaired kidney function in regulating acid-base balance. Renal insufficiency can cause retention or loss of bicarbonate ions, leading to imbalances. Myocardial infarction, occasional use of antacids, and shortness of breath with extreme exertion are not direct risk factors for acid-base imbalances.
You may also like to solve these questions
The following data are organized according to Gordon’s functional health patterns.
- A. 78-year-old woman
- B. Married, three grown children who all live out of town
- C. Cares for invalid husband in home with help of daily homemaker
- D. Vision corrected with glasses; hearing normal
Correct Answer: A
Rationale: N/A
A client is postoperative following an intermaxillary fixation due to multiple facial fractures. Which type of equipment should be at the client's bedside?
- A. Wire cutters
- B. NG tube
- C. Urinary catheter tray
- D. IV infusion pump
Correct Answer: A
Rationale: The correct answer is A: Wire cutters. In postoperative intermaxillary fixation, wire cutters are essential at the bedside in case of an emergency airway obstruction or need for immediate removal of the fixation. Wire cutters allow quick access to the airway without causing harm to the client.
B: NG tube is not necessary for postoperative intermaxillary fixation.
C: Urinary catheter tray is not directly related to the client's airway or fixation.
D: IV infusion pump is not specifically required for managing intermaxillary fixation emergencies.
In summary, wire cutters are crucial for ensuring client safety and airway management in postoperative intermaxillary fixation, making it the most appropriate equipment to have at the bedside.
Treatment of the patient with appendicitis includes
- A. Transfusion to replace blood loss.
- B. Bowel preparation for cleansing.
- C. Surgical removal of appendix.
- D. Medications to lower pH within stomach.
Correct Answer: C
Rationale: Surgical removal of the appendix is the definitive treatment for appendicitis.
A client has undergone the Snellen eye chart and has 20/40 vision. Which of the following is true for this client?
- A. The client sees letters at 20 feet that others can read at 40 feet
- B. The client sees letters at 40 feet that others can read at 20 feet
- C. The client sees colors at 20 feet that others can see at 40 feet
- D. The client sees colors at 40 feet that others can see at 20 feet
Correct Answer: A
Rationale: 20/40 vision means the client can see at 20 feet what a person with normal vision can see at 40 feet.
During pulmonary hygiene for a client with pneumonia, a nurse positions the client on his left side in Trendelenburg position. From which of the following lung segments should the nurse expect secretions to be mobilized with the client in this position?
- A. Lateral segment of the left lower lobe
- B. Lateral segment of the right lower lobe
- C. Posterior segment of the right middle lobe
- D. Posterior segment of the right lower lobe
Correct Answer: B
Rationale: The correct answer is B: Lateral segment of the right lower lobe. In Trendelenburg position on the left side, gravity helps drain secretions from the right lung's lateral segments more effectively. The right lower lobe's lateral segment is the most dependent part of the lung in this position, facilitating secretion mobilization. Choices A, C, and D are incorrect because they do not align with the gravitational effect in Trendelenburg position on the left side, making secretion mobilization less efficient in those segments.