A client has the following arterial blood gas (ABG) results: pH 7.51, PaCO2 39 mm Hg, HCO3 32 mEq/L. How would the nurse interpret these results?
Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

Uncompensated metabolic alkalosis

Uncompensated respiratory acidosis

Uncompensated metabolic acidosis

Uncompensated respiratory alkalosis

Answer and Explanation

The Correct Answer is A

Choice A reason: The ABG results show an elevated pH and HCO3, which are indicative of metabolic alkalosis. The PaCO2 is within the normal range, suggesting that it is uncompensated.

Choice B reason: Respiratory acidosis would be indicated by an elevated PaCO2 and a decreased pH, which is not the case here.

Choice C reason: Metabolic acidosis would be indicated by a decreased pH and HCO3, which is not consistent with the given results.

Choice D reason: Respiratory alkalosis would be indicated by a decreased PaCO2 and an increased pH, which is not consistent with the given results.

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Correct Answer is A

Explanation

Choice A reason: Dyskinesias, which are involuntary, erratic, writhing movements of the face, arms, legs, or trunk, are common side effects of long-term use of levodopa and carbidopa, especially after many years of therapy.

Choice B reason: Dyspnea, or difficulty breathing, is not commonly associated as a side effect of levodopa and carbidopa.

Choice C reason: Hypertension is not typically a side effect of levodopa and carbidopa; these medications can sometimes cause low blood pressure, particularly upon standing.

Choice D reason: Cold intolerance is not a recognized side effect of levodopa and carbidopa.

A. Assess temperature. B. Monitor urine output. C. Administer antibiotics. D. Evaluate current CBC (Complete Blood Count).

Correct Answer is C

Explanation

Choice A reason: While assessing temperature is important for monitoring infection, it is not the immediate priority in the treatment of UTI and sepsis.

Choice B reason: Monitoring urine output is crucial for a UTI but does not address the systemic infection that sepsis represents.

Choice C reason: Administering antibiotics is the most critical intervention for a client with sepsis due to a UTI, as it directly addresses the underlying infection and can be life-saving.

Choice D reason: Evaluating the current CBC is important for understanding the client's baseline and response to infection but is secondary to the administration of antibiotics.

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A client has the following arterial blood gas (ABG) results: pH 7.51, PaCO2 39 mm Hg, HCO3 32 mEq/L. How would the nurse interpret these results? Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

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Naxlex Comprehensive Predictor Exams

The clinic nurse notes that a client with Parkinson's disease has been taking levodopa and carbidopa (Sinemet) for 10 years. Which assessment finding would indicate the client is experiencing a side effect of this medication?

Correct Answer is A

Explanation

The nurse is admitting a client diagnosed with a urinary tract infection (UTI) and sepsis. Which intervention would the nurse consider a priority?

Correct Answer is C

Explanation

The nurse is caring for a client with chronic pancreatitis. Which intervention is appropriate for this diagnosis?

Deep brain stimulation has been ordered for a client with Parkinson's disease. The client asks the nurse how this treatment will help. What is the nurse's best response?

The nurse is caring for a client who has just returned to the unit following a thyroidectomy. Which assessment finding is a priority for the nurse to report to the healthcare provider?

A client has the following arterial blood gas (ABG) results: pH 7.51, PaCO2 39 mm Hg, HCO3 32 mEq/L. How would the nurse interpret these results? Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

Which diagnostic studies will the nurse monitor for the client being treated for sepsis? Select all that apply.

The nurse is reviewing arterial blood gas (ABG) results for a client with diabetic ketoacidosis. Which result is consistent with this diagnosis?

The nurse is providing education to the client with Parkinson's disease and their family. The nurse understands that teaching has not been effective when the client makes which of the following statements?

A client has the following arterial blood gas (ABG) results: pH 7.51, PaCO2 39 mm Hg, HCO3 32 mEq/L. How would the nurse interpret these results?
Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L