Exam 5 Ch14

15問 • 3年前

問題一覧

1. A nurse assesses a client with diabetes mellitus who is admitted with an acid–base imbalance. The client’s arterial blood gas values are pH 7.36, PaO2 98 mm Hg, PaCO2 33 mm Hg, and HCO3 18 mEq/L (18 mmol/L). Which sign or symptom does the nurse identify as an example of the client’s compensatory mechanisms?

a. Increased rate and depth of respirations

2. A nurse assesses a client who is experiencing an acid–base imbalance. The client’s arterial blood gas values are pH 7.2, PaO2 88 mm Hg, PaCO2 38 mm Hg, and HCO3 19 mEq/L (19mmol/L). Which assessment would the nurse perform first?

a. Cardiac rate and rhythm

3. A nurse assesses a client who is prescribed furosemide for hypertension. For which acid–base imbalance does the nurse assess to prevent complications of this therapy?

d. Metabolic alkalosis

4. A nurse is caring for a client who is experiencing moderate metabolic alkalosis. What action would the nurse take?

d. Teach the client fall prevention measures.

5. A nurse is assessing a client who has acute pancreatitis and is at risk for an acid–base imbalance. For which manifestation of this acid–base imbalance would the nurse assess?

b. Kussmaul respirations

6. A nurse assesses a client who is admitted with an acid–base imbalance. The client’s arterial blood gas values were pH 7.32, PaO2 85 mm Hg, PaCO2 34 mm Hg, and HCO3 16 mEq/L (16 mmol/L). The most recent blood gasses show a drop in the pH. What action does the nurse take next?

a. Assess client’s rate, rhythm, and depth of respiration.

7. A nurse is caring for a client who has the following arterial blood values: pH 7.12, PaO2 56 mm Hg, PaCO2 65 mm Hg, and HCO3 22 mEq/L (22 mmol/L). Which clinical situation does the nurse correlate with these values?

b. Bronchial obstruction related to aspiration of a hot dog

8. A nurse is caring for a client who has just experienced a 90-second tonic-clonic seizure. The client’s arterial blood gas values are pH 6.88, PaO2 50 mm Hg, PaCO2 60 mm Hg, and HCO3 22 mEq/L (22 mmol/L). What action would the nurse take first?

a. Apply oxygen by mask or nasal cannula.

9. After teaching a client who was malnourished and is being discharged, a nurse assesses the client’s understanding. Which statement indicates that the client correctly understood teaching to decrease risk for the development of metabolic acidosis?

b. “I will eat three well-balanced meals and a snack daily.”

10. A nurse evaluates the following arterial blood gas values in a client: pH 7.48, PaO2 98 mm Hg, PaCO2 28 mm Hg, and HCO3 22 mEq/L (22 mmol/L). Which client condition does the nurse correlate with these results?

b. Anxiety-induced hyperventilation

11. After providing discharge teaching, a nurse assesses the client’s understanding regarding increased risk for metabolic alkalosis. Which statement indicates that the client needs additional teaching?

c. “I take sodium bicarbonate after every meal to prevent heartburn.”

12. A nurse is caring for a client who is experiencing excessive diarrhea. The client’s arterial blood gas values are pH 7.18, PaO2 98 mm Hg, PaCO2 45 mm Hg, and HCO3 16 mEq/L (16mmol/L). Which primary health care provider order does the nurse expect to receive?

b. Sodium bicarbonate

13. A nurse evaluates a client’s arterial blood gas values (ABGs): pH 7.30, PaO2 86 mm Hg, PaCO2 55 mm Hg, and HCO3 22 mEq/L (22 mmol/L). Which intervention does the nurse implement first?

a. Assess the airway.

14. A nurse is planning care for a client who is hyperventilating. The client’s arterial blood gas values are pH 7.52, PaO2 94 mm Hg, PaCO2 31 mm Hg, and HCO3 26 mEq/L (26 mmol/L). Which question would the nurse ask when developing this client’s plan of care?

b. “You appear anxious. What is causing your distress?”

15. A diabetic client becomes septic after a bowel resection and is having problems with respiratory distress. The nurse reviews the labs and finds the following ABG results: pH 7.50, PaCO2 30, HCO3 : 24, and PaO2 68. What does the nurse recognize as the primary factor causing this the acid–base imbalance?

b. Hyperventilation due to poor oxygenation

NUR 170 exam 4

V Farris · 50問 · 2年前

NUR 170 exam 4