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A nurse is reviewing a client's ABG results and notes pH 7.3 (7.35 to 7.45), PaO2 81 mm Hg (80 to 100 mm Hg), PaCO2 50 mm Hg (35 to 45 mm Hg), and HCO, 26 mEq/L (21 to 28 mEq/L). Which of the following acid-base imbalances is the client experiencing?

Metabolic alkalosis

Respiratory alkalosis

Metabolic acidosis

Respiratory acidosis

Answer and Explanation

The Correct Answer is D

A. Metabolic alkalosis is characterized by elevated pH and HCO3.

B. Respiratory alkalosis is characterized by elevated pH and decreased PaCO2.

C. Metabolic acidosis is characterized by decreased pH and HCO3.

D. Respiratory acidosis is indicated by a decreased pH and elevated PaCO2, which aligns with the client's ABG results.

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

Slight tenting of the skin indicates dehydration, which is consistent with both DKA and HHS. A blood glucose level of 468 mg/dL is significantly higher than the normal range, which is a common finding in both DKA and HHS. An elevated creatinine level indicates kidney dysfunction, which can be a result of dehydration seen in both DKA and HHS.

The presence of ketones in the urine is a hallmark of DKA, as it indicates the body is using fat for energy due to a lack of insulin. A pH of 7.30 is lower than the normal range, suggesting acidosis, which is characteristic of DKA.

A. Wear a surgical mask when providing care to the client. B. Perform a Mantoux skin test on the client C. Assign the client to a negative-pressure airflow room, D. Recommend that the client's family members receive antiviral therapy

Correct Answer is A

Explanation

A. Pertussis (whooping cough) is transmitted via respiratory droplets. Wearing a surgical mask helps to protect against the spread of the disease.

B. A Mantoux skin test is used for tuberculosis screening, not for pertussis.

C. Pertussis does not require a negative-pressure airflow room, which is used for airborne diseases like tuberculosis.

D. Antiviral therapy is not typically recommended for family members; instead, vaccination and prophylactic antibiotics may be advised depending on exposure and vaccination status.

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A nurse is reviewing a client's ABG results and notes pH 7.3 (7.35 to 7.45), PaO2 81 mm Hg (80 to 100 mm Hg), PaCO2 50 mm Hg (35 to 45 mm Hg), and HCO, 26 mEq/L (21 to 28 mEq/L). Which of the following acid-base imbalances is the client experiencing?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the emergency department. Exhibits For each assessment finding, click to specify if the assessment finding is consistent with diabetic ketoacidosis (DKA) or hyperglycemic-hyperosmolar state (HHS). Each finding may support more than 1 disease process.

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

A nurse working in the emergency department is admitting a client who has pertussis. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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