EAQ
Which complication will the nurse anticipate when caring for a client with late hypovolemic shock?
Metabolic acidosis
Which initial change an acid base balance with the nurse, expect when a client is in the progressive state of shock
Metabolic acidosis
During an eight hour shift a client drinks to 6 ounce cups of tea and vomiting, 125 mL of fluid. Intravenous fluid, absorbed equaled the urinary output what is the clients fluid balance during this eight hour.
235
how can nurse prevent vomiting in a client who reports feeling nauseated after cataract surgery
Administer the prescribed antiemetic medication
Which information would the nurse is reinforcing teaching a client with gastroesophageal reflex disease about anti-acid therapy
Ant acids commonly interfere with the absorption of other medication's
A high school student arrives to the local blood drive center to donate blood for the first time, and as the site is being prepared, do you need a insertion the student becomes agitated and starts to hyperventilate which instruction with the nurse provide for the student
Breath into a cupped hand
Which long term effect is associated with untreated congenital hypothyroidism
Cognitive impairment
An arterial blood gas report indicates the clients pH is 7.2 5P CO2 is 35 MMHG and HCO3 is 20 MEQ/L which disturbance with the nurse identify based on these results
Metabolic acidosis
When a client who has had a thoracotomy develops respiratory acidosis which action would the nurse take?
Encourage deep breathing
Which priority, nursing intervention with the nurse implement for a client and diuretic therapy who has developed metabolic alkalosis
Fall prevention measures
Which statement explains why metabolic acidosis develops with kidney failure
Inability of the renal tubules to secrete hydrogen ions and conserve bicarbonate
Which condition is a cardiovascular manifestation of Alkalosis Select all that apply
Increased heart rate increased digitalis toxicity
A nurse is caring for a client who is vomiting or caring for this client. The nurse recalls that vomiting reflects, follows a set pattern, list the steps in order that they occur.
Initiation of reverse peristalsis in the stomach Contraction of ab muscles Relaxation of the upper esophageal sphincter Closure of the trachea to prevent aspiration
An increase in which blood component is responsible for the acidosis related to untreated diabetes mellitus
Ketones
FACTOR IS THE LIKE;LY CAUSE OF THE LABORTORY RESULT WHEN ARTERIAL BLOOD GASES DONE ON A CLIENT WHO IS BEING RESUSCITATED AFTER CARDIAC ARRES SHOWS A LOW pH
Lactic Acid Production
Which food item with the nurse instruct the client whose pathology report states urinary calculus, is composed of uric acid to avoid
Liver
Which effect of sodium bicarbonate is the nurse trying to prevent when teaching a client about danger of using sodium bicarbonate regularly
Metabolic Acidosis'
Which independent nursing action would be included in the plan of care for a client after an episode of ketoacidosis
Monitoring for signs of hypoglycemia resulting from treatment
Which result with the nurse expect to see on an electrocardiogram tracing monitor when the client has diabetic acidosis, and a potassium level of 5.4 MEQ/L
Peaked T waves and widened QRS complex
A nurse providing postoperative care for a client who had kidney surgery reviews the clients urinalysis this report which urinary finding indicates the need to notify the primary health care provider
Presence of large proteins
a client with copd has blood ph 7.25 and pco2 of 60 mmHg, These blood gas results require nursing attention because they indicate which condition
Respiratory Acidosis
Which type of acid base imbalance would the nurse expect in a child admitted with severe asthma exacerbation
Respiratory acidosis caused by impaired, respirations and increased formation of carbonic acid
Which ion is the regulator of extracellular osmolarity
Sodium
A client with esophageal varices experienced severe hematemesis and Sengstaken Blakemore tube is inserted. Which design and purpose does the tube have
Triple lumen for esophageal compression
Which blood gas result would the nurse expect an adolescent with diabetic keto acidosis to exhibit?
pH 7.30, CO2 40 mm Hg, HCO3- 20 mEq/L (20 mmol/L)
Which arterial blood class results are associated with diabetic ketoacidosis
pH: 7.28; PCO 2: 28; HCO 3: 18