A nurse is collecting data from a client who reports persistent vomiting, dizziness, palpitations, and numbness and tingling in his fingers and toes, and around his mouth.
The nurse notes the client's respirations are slow and shallow.
The nurse should suspect that the client has developed which of the following acid-base imbalances?

Metabolic acidosis.

Metabolic alkalosis.

Respiratory alkalosis.

Respiratory acidosis.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Metabolic acidosis would likely present with rapid, deep breathing (Kussmaul respirations), not slow and shallow breathing.

Choice B rationale:

The client’s symptoms of vomiting (which can cause a loss of stomach acid), dizziness, palpitations, and numbness and tingling in the extremities and around the mouth are consistent with metabolic alkalosis.

Choice C rationale:

Respiratory alkalosis would likely present with rapid breathing, not slow and shallow breathing.

Choice D rationale:

Respiratory acidosis would likely present with rapid, shallow breathing, not slow and shallow breathing.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale:

Obtaining the number of the client’s provider is not the immediate action to take. The client is showing signs of a possible stroke (right-sided weakness and slurred speech), which is a medical emergency.

Choice B rationale:

Finding a location for the client to sit is not the immediate action to take. The client needs medical attention immediately due to the signs of a possible stroke.

Choice C rationale:

Driving the client to the nearest emergency room is not the best action to take. It would be faster and safer to call emergency medical services who are trained to handle such situations.

Choice D rationale:

Calling emergency medical services is the correct action. The client is showing signs of a possible stroke, which requires immediate medical attention.

A. Pulmonary vein. B. Pulmonary artery. C. Aorta. D. Inferior vena cava.

Correct Answer is C

Explanation

Choice A rationale:

This statement is incorrect because the pulmonary vein carries oxygenated blood from the lungs to the left atrium, not from the left ventricle.

Choice B rationale:

This statement is incorrect because the pulmonary artery carries deoxygenated blood from the right ventricle to the lungs, not from the left ventricle.

Choice C rationale:

This statement is correct. When the left ventricle contracts, it pushes blood through the aortic semilunar valve into the aorta, the largest artery in the body.

Choice D rationale:

This statement is incorrect because the inferior vena cava carries deoxygenated blood from the lower half of the body to the right atrium, not from the left ventricle.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is shopping and finds a woman who has collapsed with right-sided weakness and slurred speech.Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A patient with CAD is asking the nurse about the mechanisms of the heart.It would be appropriate for the nurse to respond that when the left ventricle contracts, it pushes blood through the semilunar valve to the:

Correct Answer is C

Explanation

A nurse is preparing to administer penicillin IM to an adult client.Which of the following angles should the nurse use for injection into the client's ventrogluteal muscle?

A nurse is preparing to administer timolol ophthalmic drops to a client who has glaucoma.Which of the following actions should the nurse plan to take?

A nurse is reviewing the medical record of a client who has metabolic acidosis.The nurse should realize that which of the following findings contributes to the development of metabolic acidosis?

Which step ensures the prescription is clear and appropriate?

A nurse is reviewing the medical record of a client who has a fluid volume deficit.The nurse should expect which of the following findings?

A nurse is preparing to administer oral potassium for a client who has a potassium level of 5.5 mEq/L. Which of the following actions should the nurse take first?

A nurse is caring for a client who is receiving a mechanically altered diet.Which of the following food choices necessitates intervention by the nurse?