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NURS 1220 Test 2 Questions And Verified Detailed Answers
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NURS 1220 Test 2 Questions And Verified Detailed AnswersWhich of the following nursing interventions would be included in the plan of care for a
patient who is in metabolic alkalosis due to overuse of diuretics?
Electrolyte monitoring
Administration of prescribed diuretics
Administration of IV fluids
Placing the patient on fall precautions
Administration of prescribed antiemetics - Answer Electrolyte monitoring
Administration of IV fluids
Placing the patient on fall precautions
RATIONALE: In the patient with metabolic alkalosis resulting from diuretic therapy, the
client's diuretics should be discontinued, the nurse should administer IV fluids and
monitor the patient's electrolytes, and the patient should be placed in fall precautions
due to hypotension and muscle cramping commonly occurring with metabolic alkalosis.
Antiemetics can be used if metabolic alkalosis results from vomiting.
Which organ plays a significant role in acid-base regulation to maintain pH homeostasis
of the body? Choose all that apply.
Lungs
Brain
Pancreas
Kidneys
Small intestines - Answer Lungs
Kidneys
reason: Blood pH is a measure of a sensitive balance between hydrogen ions, which are
acids, and bicarbonate anions, which are bases. The lungs and kidneys are the chief
, regulators of acid-base balance. The lungs control the pH of the blood through the
exhalation or retention of hydrogen ions, or acid, while kidneys control blood pH
through the excretion or reabsorption of bicarbonate anions, or base. Liver: a role in
metabolism, immunity, and clotting. Pancreas: secretion of insulin was to control
glucose metabolism, while enzymes were involved in digestion. The brain plays a
subordinate role in the regulation of pH balance by monitoring the requirement for acid
or base changes and relaying the signals appropriately to the kidneys and the lungs.
The small intestine does not participate in the regulation of blood pH.
Which of the following assessment findings, if present in the patient, would lead the
nurse to suspect right-sided heart failure secondary to endocarditis? Choose those that
apply.
Distended neck veins
Weight gain
- Peripheral edema
- Dyspnea
- Bilateral lung crackles upon auscultation - Answer - Jugular venous distention
- Weight gain
- Peripheral edema
rationale: Distended neck veins, weight gain, and peripheral edema are findings
indicative of right-sided heart failure. Dyspnea and crackles upon lung auscultation are
symptoms of left-sided heart failure.
In the previous visit, the nurse and patient listed and developed a goal that addressed
the patient's cardiovascular status.
Which of the following would you recognize as fulfilling the objective? Choose all that
are correct. Has total cholesterol of 175 mg/dL Exercises 40 minutes daily Has body
mass index of 24.8 kg/m 2 Consumes 40 g fiber daily Reports staying away from foods
that contain trans fats fat - Answer - Has total cholesterol of 175 mg/dL Exercises 40
minutes daily Has body mass index of 24.8 kg/m 2 Consumes 40 g fiber daily
- Reports refraining from foods containing trans fats
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