A client's arterial blood gas (ABG) reads: pH 7.18, PaCO2 54 mm Hg, HCO3 26 mEq/L. What condition does the nurse recognize may contribute to the development of this result? Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

Prolonged vomiting

COPD

Chronic renal failure

Anxiety and hyperventilation

Answer and Explanation

The Correct Answer is B

Choice A reason: Prolonged vomiting typically leads to metabolic alkalosis due to the loss of gastric acid, which is not consistent with the ABG results showing acidosis.

Choice B reason: COPD can lead to respiratory acidosis, as indicated by the elevated PaCO2 and low pH in the ABG results, making it a likely contributor to these findings.

Choice C reason: Chronic renal failure can lead to metabolic acidosis, but the HCO3 level is within the normal range, which does not support this as the primary condition.

Choice D reason: Anxiety and hyperventilation usually result in respiratory alkalosis due to the excessive exhalation of CO2, which is the opposite of what the ABG results show.

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Correct Answer is ["A","D"]

Explanation

Choice A reason: Resting tremor is a classic symptom of Parkinson's disease and is one of the primary diagnostic criteria.

Choice B reason : Limited range of motion is not specific to Parkinson's disease and can be caused by various conditions.

Choice C reason : Hypertension is not a diagnostic criterion for Parkinson's disease.

Choice D reason : Difficulty rising to stand is associated with the bradykinesia seen in Parkinson's disease, making it a relevant symptom for diagnosis.

Choice E reason : Diarrhea is not typically associated with Parkinson's disease and is not a diagnostic criterion.

A. Administer oxygen via mask. B. Obtain serum lactate level. C. Infuse 0.9% NS at 50 mL/hr. D. Obtain blood and urine cultures.

Correct Answer is C

Explanation

Choice A reason: Administering oxygen via mask is appropriate for a client with sepsis who may have compromised oxygenation.

Choice B reason: Obtaining a serum lactate level is important in sepsis as it can indicate the severity of the condition and guide treatment.

Choice C reason: An infusion rate of 0.9% Normal Saline at 50 mL/hr may be questioned because clients with sepsis may require more aggressive fluid resuscitation.

Choice D reason: Obtaining blood and urine cultures is essential before starting antibiotics to identify the causative organism in sepsis.

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A client's arterial blood gas (ABG) reads: pH 7.18, PaCO2 54 mm Hg, HCO3 26 mEq/L. What condition does the nurse recognize may contribute to the development of this result? Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","D"]

Explanation

The nurse is reviewing orders received for a client diagnosed with sepsis. Which order should the nurse question?

Correct Answer is C

Explanation

The nurse practitioner is assessing clients for their risk of developing hypothyroidism. Which of these clients would the nurse consider at greatest risk?

A spouse expresses frustration when trying to communicate with a client with Parkinson's disease (PD). What can the nurse do to facilitate communication between the client and spouse?

A client with thyroid disease is being treated with propylthiouracil (PTU). Which statement made by the client indicates the medication therapy is effective?

The nurse suspects the client's dose of levothyroxine (Synthroid) is too low when the client displays which symptom?

The nurse is assessing a client admitted for treatment of pneumonia and possible sepsis. Which information is most important for the nurse to report?

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?

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

The patient with newly diagnosed Parkinson's disease states, "I just don't think I can handle having Parkinson's disease." What is the nurse's best first response?