This topic contains a solution. Click here to go to the answer

Author Question: A client is in the clinic with mild chest pain and is being treated with digitalis and diuretics. ... (Read 46 times)

moongchi

  • Hero Member
  • *****
  • Posts: 516
A client is in the clinic with mild chest pain and is being treated with digitalis and diuretics. The client states that food has been of no interest the past several days.
 
  The nurse suspects that the client is experiencing hypokalemia, and expects the physician to order which laboratory test?
 
  1. Hemoglobin and white blood cell count
  2. Chest x-ray
  3. ECG
  4. CT scan

Question 2

A client in the Emergency Department has been vomiting for the past three days. The nurse notes the arterial blood gas results of: pH 7.50, PaCO2 38, PaO2 80, and HCO3 29. The nurse realizes that the client is experiencing:
 
  1. metabolic alkalosis.
  2. metabolic acidosis.
  3. respiratory alkalosis.
  4. respiratory acidosis.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

nekcihc358

  • Sr. Member
  • ****
  • Posts: 327
Answer to Question 1

Answer: 3

1. Since the client is being treated with digitalis and diuretics and has chest pain, hemoglobin and white cell count would not be helpful in diagnosing the problem.
2. A chest x-ray cannot diagnose hypokalemia.
3. The nurse would expect serum electrolytes to be drawn and an ECG to be completed to identify dysrhythmias, since the client is experiencing chest pain.
4. A CT scan cannot identify hypokalemia or dysrhythmias.

Answer to Question 2

Answer: 1

1. The nurse notes that the client has been vomiting for 3 days, and is losing acid from the stomach, so should expect alkalosis. The CO2 is normal, which would indicate a metabolic problem rather than a respiratory one. The pH and bicarbonate levels are elevated.
2. With metabolic acidosis, the pH is low and the HCO3 is low as well.
3. In respiratory alkalosis, the CO2 is low and the pH is high.
4. In respiratory acidosis, the CO2 is high and the pH is low.




moongchi

  • Member
  • Posts: 516
Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it


Jsherida

  • Member
  • Posts: 314
Reply 3 on: Yesterday
Excellent

 

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

About 600,000 particles of skin are shed every hour by each human. If you live to age 70 years, you have shed 105 pounds of dead skin.

Did you know?

Approximately one in three babies in the United States is now delivered by cesarean section. The number of cesarean sections in the United States has risen 46% since 1996.

Did you know?

Normal urine is sterile. It contains fluids, salts, and waste products. It is free of bacteria, viruses, and fungi.

Did you know?

Your skin wrinkles if you stay in the bathtub a long time because the outermost layer of skin (which consists of dead keratin) swells when it absorbs water. It is tightly attached to the skin below it, so it compensates for the increased area by wrinkling. This happens to the hands and feet because they have the thickest layer of dead keratin cells.

For a complete list of videos, visit our video library