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A nurse is reinforcing teaching with a group of clients about first aid care for a bee sting.
Which of the following information should the nurse reinforce in the teaching?

Apply a warm pack.

Remove the stinger by scraping it off with a knife blade.

Apply a tourniquet.

Suck the wound.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Applying a warm pack can increase swelling and pain, so it is not recommended.

Choice B rationale:

Removing the stinger by scraping it off with a knife blade can help to reduce the amount of venom that is released into the body.

Choice C rationale:

Applying a tourniquet can restrict blood flow and cause more harm than good.

Choice D rationale:

Sucking the wound can introduce bacteria and cause infection, so it is not recommended.

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Correct Answer is B

Explanation

Choice A rationale:

Hyperventilation is a compensatory mechanism for metabolic acidosis, not a cause. It helps to eliminate carbon dioxide, a weak acid, to balance the pH.

Choice B rationale:

Diarrhea causes loss of bicarbonate, a base, from the body. This can lead to metabolic acidosis as there is an excess of acids.

Choice C rationale:

Salicylate intoxication can cause both respiratory alkalosis and metabolic acidosis. However, it is not the most common cause of metabolic acidosis.

Choice D rationale:

Vomiting leads to loss of gastric acid, a strong acid. This usually results in metabolic alkalosis, not acidosis.

A. Check the client for a positive Chvostek's sign. B. Request a potassium replacement. C. Administer glucagon IM. D. Discontinue the TPN infusion.

Correct Answer is B

Explanation

Choice A rationale:

Checking for a positive Chvostek’s sign is not relevant. This sign is associated with hypocalcemia, not with the lab values provided.

Choice B rationale:

The nurse should request a potassium replacement. The normal range for potassium is 3.5-5.0 mEq/L. A level of 3.0 mEq/L is low, indicating hypokalemia.

Choice C rationale:

Administering glucagon IM is not appropriate. The glucose level is within the normal range (70-110 mg/dL), so there is no need for glucagon.

Choice D rationale:

Discontinuing the TPN infusion is not the first action. The nurse should address the abnormal lab value (low potassium) first.

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A nurse is reinforcing teaching with a group of clients about first aid care for a bee sting.Which of the following information should the nurse reinforce in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who has metabolic acidosis.The nurse should realize that which of the following findings contributes to the development of metabolic acidosis?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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A nurse is reinforcing teaching with a group of clients about first aid care for a bee sting.
Which of the following information should the nurse reinforce in the teaching?