ISB 245: Metabolism

A nursing student is caring for a patient with metabolic acidosis. The student asks the registered nurse why the patient's respiratory rate is so high. What response by the nurse is best?

"The lungs are trying to rid the body of extra carbon dioxide."

Family members of a client diagnosed with hyperthyroidism are alarmed at the client's frequent mood swings. What is the nurse's best response?

"The mood swings would diminish with treatment."

The nurse is caring for a patient with severe dehydration. After assessing the urine in the Foley catheter what would the nurse expect the patient's urine specific gravity to be?

1.065

A nurse assesses a patient who has liver disease. Which laboratory findings would the nurse recognize as potentially causing complications of this disorder? (Select all that apply.)

Elevated prothrombin time (PT) Elevated serum ammonia Elevated international normalized ratio (INR)

After running an ABG on a patient and reviewing the results which value should the nurse report to the physician?

HCO3 The normal range for Ph IS 7.35 TO 7.45. A greater value indicates alkalosis. The normal value for HCO3 is 22-26. This patient is experiencing metabolic alkalosis and the values should be reported to the physician.

The nurse is providing discharge education to her patient with diabetes regarding foot care. Which of the following statements by the patient indicates a need for further education?

I can go barefoot outside only in the summer."

A client at the medical clinic is being evaluated for hypothyroidism. For which of these symptoms consistent with hypothyroidism does the nurse assess? (Select all that apply.)

Increasing thermostat settings in the home Pulse rate below 60 beats per minute

A nurse cares for a patient who has cirrhosis of the liver. What action would the nurse take to decrease the presence of ascites?

Provide a low-sodium diet.

The nurse is caring for a patient with a history of type I diabetes. Which assessment finding indicates to the nurse that the patient may not be compliant with his diabetic treatment regimen?

The patient is always thirsty and frequently voids very large amounts of urine.

Identify which of the following signs and symptoms that a patient with hypothyroidism might have.

Weight gain brittle nails Fatigue