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The client needs to see a health care provider
for further care. Lactic acidosis can occur when
taking Metformin in the presence of dehydration
and renal insufficiency, typically seen in type 2 diabetics. Manifestations of lactic acidosis include
Kussmaul's breathing and severe muscle pain
caused by the buildup of lactic acid in the muscles.
2. b. Seek the assistance of a nurse on the floor who
is fluent in the client's language. Correct
The nurse is responsible for ensuring that the
client understands the information provided regarding the procedure.
3. d. "My Dilantin dose will be increased several
days before the procedure." Correct
Because the therapeutic action of ECT is to induce seizures, any medications that affect the
client's seizure threshold must be decreased or
discontinued several days before the procedure
4. "The living will documents your mother's wishes
and must be followed." Correct
A living will is a document that expresses the
client's wishes regarding medical treatment in the
event the client becomes incapacitated and is facing end-of-life issues.The client's wishes should
be followed by the health care provider.
The triage nurse receives a call from a
client with a history of
type 2 diabetes mellitus controlled by metformin (Glucophage).
The client is reporting
muscle pain and shortness of breath with exercise. Which of the
following is the most
appropriate response
from the nurse
A nurse is preparing a
client who speaks limited English for surgery.
Which of the following
is the most appropriate
nursing action in obtaining informed consent from this client?
A nurse is performing
initial teaching with a
client who will be receiving electroconvulsive therapy (ECT).
Which statement by the
client indicates a need
for further teaching?
daughter of a client
with a terminal illness
pulls a nurse to the
side and says, "Although my mother's living will states she is not
to be resuscitated, the
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