A client’s PaCO2 is abnormal on an ABG report. What does the nurse suspect as the most likely medical diagnosis?

Sexually Transmitted Infection (STI).

Chronic Renal Insufficiency or Failure (CRF).

Chronic Obstructive Pulmonary Disease (COPD).

Congestive Heart Failure (CHF).

Answer and Explanation

The Correct Answer is C

Choice A reason: STIs do not typically cause abnormal PaCO2, which reflects respiratory or metabolic issues, unlike COPD’s impact on CO2 retention. Assuming STI is likely risks misdiagnosis, potentially delaying respiratory intervention, critical to avoid in ensuring accurate assessment and treatment based on arterial blood gas abnormalities in clients.

Choice B reason: CRF may cause metabolic acidosis, affecting pH, but PaCO2 is primarily respiratory, making COPD more likely. Assuming CRF is the cause risks overlooking airway issues, potentially delaying ventilation support, critical to prevent in ensuring precise diagnosis and management of abnormal PaCO2 in clients.

Choice C reason: COPD causes CO2 retention, elevating PaCO2 due to impaired gas exchange, a hallmark of respiratory acidosis, making it the likely diagnosis. Recognizing this is critical for timely respiratory interventions, ensuring oxygenation, preventing deterioration, and supporting accurate management of clients with abnormal arterial blood gas results.

Choice D reason: CHF may cause pulmonary edema, but PaCO2 is less directly affected than in COPD’s chronic CO2 retention. Assuming CHF is primary risks missing airway obstruction, potentially delaying respiratory care, critical to avoid in ensuring correct diagnosis and treatment of abnormal PaCO2 in clients.

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Correct Answer is C

Explanation

Choice A reason: Expressing remorse reflects regret, not prizing, which involves valuing new behaviors, like pride in diabetes management skills. Assuming remorse is prizing risks missing positive value integration, potentially hindering motivation, critical to avoid in supporting clients reassessing health values post-diabetic complications.

Choice B reason: Explaining choices shows understanding, not prizing, which involves cherishing new values, like pride in management skills. Assuming explanation is prizing risks overlooking emotional commitment, potentially limiting behavioral change, critical to prevent in supporting value reassessment in clients with diabetic nephropathy.

Choice C reason: Expressing pride in knowledge and skills demonstrates prizing, cherishing new values in diabetes management, critical for sustained change. This reflects internalization, essential for motivating lifestyle adjustments, preventing further complications, and supporting recovery in clients with renal failure secondary to diabetic nephropathy.

Choice D reason: Stating intent to monitor glucose is action-oriented, not prizing, which involves valuing skills, like expressing pride. Assuming intent is prizing risks missing emotional valuation, potentially reducing commitment, critical to avoid in supporting value-driven change in clients with diabetic complications.

A. Encourages the patient to make decisions about food selection choices on the menu. B. Demonstrates care and concern for a patient’s culture and beliefs. C. Performs patient assessment and records findings accurately. D. Plans to divide time for nursing tasks evenly among a group of patients.

Correct Answer is C

Explanation

Choice A reason: Encouraging food choices supports autonomy, not directly integrity, unlike accurate assessment recording, which reflects honesty. Assuming food encouragement shows integrity risks misidentifying the value, potentially undervaluing truthfulness, critical to avoid in upholding professional nursing standards in clinical practice settings.

Choice B reason: Cultural care reflects respect, not primarily integrity, unlike accurate assessment recording, which ensures honesty. Assuming cultural concern is integrity risks mislabeling the value, potentially overlooking truthful documentation, critical to prevent in maintaining professional nursing integrity in patient care delivery.

Choice C reason: Accurate assessment and recording demonstrate integrity, ensuring truthful documentation, critical for patient safety and trust in nursing practice. This upholds professional standards, prevents errors, and supports ethical care, essential for maintaining accountability and reliability in clinical assessments across diverse healthcare settings.

Choice D reason: Even time division reflects fairness, not integrity, unlike accurate assessment recording, which prioritizes honesty. Assuming time management is integrity risks misidentifying the value, potentially neglecting truthful documentation, critical to avoid in ensuring professional integrity in nursing care and documentation practices.

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A client’s PaCO2 is abnormal on an ABG report. What does the nurse suspect as the most likely medical diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The nurse is demonstrating the professional value of integrity in which situation?

Correct Answer is C

Explanation

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