Author Question: The nurse is reviewing new prescriptions provided by the healthcare provider for a client with ... (Read 128 times)

nevelica · **on:** Jun 25, 2018

The nurse is reviewing new prescriptions provided by the healthcare provider for a client with metabolic acidosis. Which prescription should the nurse question before implementing it for the client?

A) Begin intravenous infusion of 0.9 normal saline.
B) Draw serum potassium levels every 2 hours.
C) Draw arterial blood gas samples every 2 hours.
D) Administer 1 ampule of sodium bicarbonate now.

Question 2

The nurse instructs a group of community members on the difference between benign and malignant neoplasms. Which participant statements indicate that teaching has been effective?

Select all that apply.
A) Benign tumors grow slowly.
B) Malignant tumors are easy to remove.
C) Benign tumors stay in one area.
D) Malignant tumors push other tissue out of the way.
E) Malignant tumors can grow back.

asdfghjkl; · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: D

Administering bicarbonate to correct acidosis increases the risk for hypernatremia, hyperosmolality, and fluid volume excess. This is the order that the nurse should question before providing. Treatment of metabolic acidosis includes correction of fluid balance. An infusion of normal saline would be appropriate for this client. As metabolic acidosis is corrected, potassium shifts back into the intracellular space. This shift can lead to hypokalemia and cardiac dysrhythmias. Serum potassium levels should be carefully monitored during treatment. Arterial blood gases are used to evaluate treatment and guide additional therapies.

Answer to Question 2

Answer: A, C, E

Benign tumors are slow-growing, stay in one area, are easy to remove, and push other tissue out of the way. Malignant tumors are more difficult to remove. They invade neighboring tissue and can return once removed.