Author Question: A college freshman has bulimia. She vomits after eating and has recently noticed tingling of her ... (Read 113 times)

FButt · **on:** Jul 22, 2018

A college freshman has bulimia. She vomits after eating and has recently noticed tingling of her fingers and toes and muscle cramps. Her roommate is a nursing student and is concerned about which imbalance?

a. Respiratory acidosis
b. Metabolic acidosis
c. Respiratory alkalosis
d. Metabolic alkalosis

Question 2

A patient is admitted to the hospital for hip replacement surgery after falling at home and breaking a hip. The patient has developed pneumonia while in the hospital and has required fre-quent suctioning from the tracheostomy.

The nurse decides to delegate I&O to the unlicensed assistive personnel but does not delegate suctioning. This is an example of which of the five rights of delegation? a. Right task
b. Right direction/communication
c. Right intervention
d. Right supervision

bdobbins · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Metabolic alkalosis results from acid loss from the body or an increase in levels of bicarbonate. The most common causes are vomiting and gastric suction. Respiratory acidosis results from respiratory diseases or other conditions that reduce alveolar ventilation (hypoventilation), pre-venting excretion of the carbonic acid continuously produced by cells. Metabolic acidosis results from conditions that increase metabolic acids in the body or decrease the amount of base (bicar-bonate). Diabetic ketoacidosis is a common cause of metabolic acidosis. Hyperventilation pro-duces respiratory alkalosis, which causes cerebrospinal fluid and brain cells to become alkalotic, decreasing the level of consciousness.

Answer to Question 2

A
This is the right task because the nurse delegated I&O, but not tracheostomy suctioning. The right task is one that you can delegate for a specific patient, such as tasks that are repetitive, re-quire little supervision, are relatively noninvasive, have results that are predictable, and have mi-nimal potential risk. Right direction/communication involves the following: Give a clear, concise description of the task, including its objective, limits, and expectations. Communication must be ongoing between the nurse and nursing assistive personnel during a shift of care. There is no right for an intervention. Right supervision includes the following: Provide appropriate moni-toring, evaluation, intervention as needed, and feedback. Nursing assistive personnel should feel comfortable asking questions and seeking assistance.