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