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A nurse is caring for a client who has acute kidney injury.
The client's ABGs are: pH: 7.26, PaCO2: 30 mm Hg, HCO3: 14 mEq/L. Which of the following acid imbalances should the nurse identify the client is experiencing?

Metabolic alkalosis.

Respiratory acidosis.

Metabolic acidosis.

Respiratory alkalosis.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Metabolic alkalosis is incorrect because it would present with a high pH and high HCO3, which is not the case here.

Choice B rationale:

Respiratory acidosis is incorrect because it would present with a low pH and high PaCO2, which is not the case here.

Choice C rationale:

Metabolic acidosis is correct because it presents with a low pH and low HCO3, which matches the client’s ABG results.

Choice D rationale:

Respiratory alkalosis is incorrect because it would present with a high pH and low PaCO2, which is not the case here.

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Correct Answer is B

Explanation

Choice A rationale:

Placing the client in a modified Trendelenburg position is not the first action to take when managing a heavily bleeding wound.

Choice B rationale:

Applying direct pressure to the wound is the first action to take to control bleeding.

Choice C rationale:

Elevating the extremity can help control bleeding, but it is not the first action to take.

Choice D rationale:

Applying a tourniquet is a last resort when other methods of controlling bleeding have failed.

Correct Answer is ["1100"]

Explanation

The correct answer is 1100.

Calculation: The current time is 0700 and there are 300 mL remaining in the bag. The IV is infusing at a rate of 75 mL/hr. Therefore, 300 mL ÷ 75 mL/hr = 4 hours. Adding 4 hours to the current time of 0700 gives 1100.

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A nurse is caring for a client who has acute kidney injury.The client's ABGs are: pH: 7.26, PaCO2: 30 mm Hg, HCO3: 14 mEq/L. Which of the following acid imbalances should the nurse identify the client is experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is assisting with the care of a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound.Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving IV dextrose 5% in 0.9% sodium chloride at 75 mL/hr. When the nurse checks the client's IV bag at 0700, 300 mL remain in the bag. At what time should the nurse hang a new bag of IV fluid? (Use the military format, four-digit number to enter the time.)

Correct Answer is ["1100"]

Explanation

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A nurse is caring for a client who has acute kidney injury.The client's ABGs are: pH: 7.26, PaCO2: 30 mm Hg, HCO3: 14 mEq/L. Which of the following acid imbalances should the nurse identify the client is experiencing?

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A nurse is caring for a client who has acute kidney injury.
The client's ABGs are: pH: 7.26, PaCO2: 30 mm Hg, HCO3: 14 mEq/L. Which of the following acid imbalances should the nurse identify the client is experiencing?