Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

Evaluative Statement: 3/22/11: Expected outcome

partially met—on two occasions, Toni remained in

control of her breathing during her mother’s visits.

On at least one occasion, she hyperventilated.

—K. O’Leary, RN

3.Patient strengths: The patient’s strengths still need

to be identified; mother seems to be gaining an

appreciation of her needs.

Personal strengths: Good understanding of the

effects of stress and experienced in helping patients

replace maladaptive coping strategies with adaptive

strategies.

4.3/22/11: This morning, Toni began talking about

the difficult situation at home. When asked about

her relationship with her mother, she began

gulping for air but “caught herself” and quickly

reestablished control of her breathing, consciously

decreasing her rate and depth. Whereas she has

shown no signs of hyperventilation on two of her

mother’s last visits, she had one episode in which

she hyperventilated and totally “lost control” and

needed sedation. She stated, she feels like she is

making progress but still has a long way to go

before she will feel comfortable at home and in

control of simple, everyday things like breathing.

—K. O’Leary, RN

CHAPTER 40

PRACTICING FOR NCLEX

MULTIPLE CHOICE QUESTIONS

1.c 2.a 3.b 4.b 5.c

6.d 7.a 8.d 9.b 10.d

11.a 12.b 13.b

ALTERNATE-FORMAT QUESTIONS

Multiple Response Questions

1.c, d, f

2.a, b, d, f

3.b, d, f

4.d, e, f

5.a, b, c

6.b, d, f

7.a, b, e

8.c, d, e

9.b, c, e

Chart/Exhibit Questions

1.c

2.a

3.d

4.a

5.b

6.See table below.

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:

406 ANSWER KEY

Comp. Present?

If Yes If Yes

pH PaCO 2 HCO 3  Nature of Disturbance Yes No

7.28 63 25 respiratory acidosis 

7.20 40 14 metabolic acidosis 

7.52 40 35 metabolic alkalosis 

7.16 82 30 respiratory acidosis 

7.36 68 35 respiratory acidosis  

7.56 23 26 respiratory alkalosis 

7.40 40 26 none

7.56 23 26 respiratory alkalosis 

7.26 70 25 respiratory acidosis 

7.52 44 38 metabolic alkalosis 

7.32 30 18 metabolic acidosis 

7.49 34 26 respiratory alkalosis 

Renal RespiratoryPartial Complete

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