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Question
The student nurse asks why a client is receiving an I.V. of lactated Ringer's with potassium following an episode of diabetic ketoacidosis. What is the best response by the nurse? In acidosis, the sodium moves into the cells to buffer the acid and displaces the potassium. The lactated Ringer's helps restore the alkaline pH. Lactated Ringer's will help lower the blood pH when hypokalemia is related to ketoacidosis. With acidosis, the intracellular potassium switches places with the plasma hydrogen ions to buffer the acidosis; the lactated Ringer's helps restore the bicarbonate reserves. Hypokalemia is associated with uncontrolled diabetes, and the lactated Ringer's is isotonic fluid replacement.
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One possible diagnosis for this patient could be Chronic pancreatitis. This condition can present like an ulcer with upper abdominal pain or discomfort
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A phlebotomist reported immediately to the ER after a needlestick injury due to improper needle disposal.
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Describe the additional clinical features in the history and examination findings that would help formulate differential diagnoses for this patient.
The parent of a 6-month-old infant with atopic dermatitis asks for advice on bathing the child.
Describe where you saw ethos, pathos, and/or logos in action. Use specific examples of words/images within the advertisement.
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