A nurse is reinforcing discharge teaching about limiting sodium intake with a client who has a new diagnosis of cardiomyopathy. Which of the following client responses indicates an understanding of the teaching?

"I can have mustard on my sandwiches."

"I can season foods with celery salt."

"I can have a frozen juice bar for dessert!"

"I can drink vegetable juice with my meals."

Answer and Explanation

The Correct Answer is C

- A. Mustard often contains a high amount of sodium, which is not recommended for a client trying to limit sodium intake.
- B. Celery salt is primarily composed of salt and should be avoided when trying to reduce sodium consumption.
- C. Frozen juice bars are generally low in sodium, making them a suitable choice for dessert for someone with cardiomyopathy looking to limit sodium intake.
- D. Many vegetable juices are high in sodium, especially if they are canned or bottled, and should be limited in a low-sodium diet.

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Correct Answer is C

Explanation

A. Respiratory alkalosis: This condition is characterized by low levels of carbon dioxide
(PaCO2) in the blood and an elevated pH. The ABG results in DKA show a low pH, ruling out respiratory alkalosis.
B. Metabolic alkalosis: Metabolic alkalosis is characterized by high bicarbonate (HCO3) levels and an elevated pH. The ABG results in DKA show low bicarbonate levels, ruling out metabolic alkalosis.
C. Metabolic acidosis: Metabolic acidosis is characterized by low pH and low bicarbonate (HCO3) levels. The ABG results in DKA demonstrate both low pH and low bicarbonate levels, consistent with metabolic acidosis.
D. Respiratory acidosis: Respiratory acidosis is characterized by high carbon dioxide (PaCO2) levels and low pH. The ABG results in DKA show a normal or slightly decreased PaCO2, ruling out respiratory acidosis.

A. Document urine color. B. Monitor the client for reports of bladder spasms. C. Check the drainage tubing for obstructions. D. Maintain the client in a left side-lying position. E. Use clean technique for intermittent irrigation.

Correct Answer is ["A","B","C","E"]

Explanation

A. Documenting urine color is essential after a transurethral resection of the prostate to monitor for bleeding and ensure that the bladder irrigation is effective in clearing out blood clots.
B. Monitoring for bladder spasms is important as they can indicate the presence of blood clots or other complications, and they can be very painful for the client.
C. Checking the drainage tubing for obstructions is crucial to maintain the patency of the catheter and ensure continuous irrigation. Obstructions can lead to complications such as bladder distention or increased bleeding.
D. Maintaining the client in a left side-lying position is not specifically required for continuous bladder irrigation and is not typically part of postoperative care for a client who had a transurethral resection of the prostate.
E. Using clean technique for intermittent irrigation is important to prevent infection. While sterile technique is ideal, clean technique can be used for the client's own catheter care at home or in settings where sterile technique is not feasible. However, in a clinical setting, sterile technique is usually preferred to minimize infection risk.

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A nurse is reinforcing discharge teaching about limiting sodium intake with a client who has a new diagnosis of cardiomyopathy. Which of the following client responses indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client who has DKA. The client's ABG results are pH 7.30, PaCO2 34 mm Hg and HCO3 21 mEq/L. The nurse should identify that these values indicate which of the following acid-base imbalances?

Correct Answer is C

Explanation

A nurse is caring for a client who had a transurethral resection of the prostate and now is receiving continuous bladder irrigation. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

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