Try Naxlex NCLEX-RN (Free-Trial)

A nurse is reviewing the arterial blood gas values for a client.
The pH is 7.32, PaCO₂ 48 mm Hg and the HCO₃ is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid-base balances?

Metabolic acidosis.

Metabolic alkalosis.

Respiratory alkalosis.

Respiratory acidosis.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Metabolic acidosis is characterized by a low pH and decreased HCO₃ levels, not increased PaCO₂.

Choice B rationale

Metabolic alkalosis presents with an elevated pH and increased HCO₃ levels, which do not match the given values.

Choice C rationale

Respiratory alkalosis is indicated by a high pH and decreased PaCO₂, opposite of the provided values.

Choice D rationale

Respiratory acidosis is identified by a low pH, elevated PaCO₂, and normal HCO₃, aligning with the provided values.

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 ["A","B","D","E"]

Explanation

Choice A rationale:

Obtaining a wound culture is crucial to identify the causative organism and guide appropriate antibiotic therapy. Prompt identification and treatment of the infection source can prevent further systemic complications.

Choice B rationale:

Rapidly administering 30 mL/kg of normal saline helps to restore intravascular volume, improve hemodynamic stability, and enhance tissue perfusion. This intervention is vital in the initial management of sepsis to prevent organ dysfunction.

Choice D rationale:

Obtaining blood cultures before initiating antibiotic therapy is essential to identify the causative microorganism and tailor antibiotic treatment. This step ensures accurate diagnosis and effective management of sepsis.

Choice E rationale:

Administering broad-spectrum antibiotics as soon as possible is critical in managing sepsis. Early and appropriate antibiotic therapy significantly reduces mortality and morbidity by targeting the suspected pathogens promptly.

A. Implement a low-sodium diet. B. Administer furosemide. C. Administer warfarin. D. Measure the client's abdominal girth. E. Encourage weight lifting during physical therapy.

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

Explanation

Choice A rationale

Implementing a low-sodium diet helps reduce fluid retention and ascites in clients with cirrhosis, improving their condition.

Choice B rationale

Furosemide is a diuretic that helps reduce fluid overload and ascites in clients with cirrhosis by promoting excretion of excess fluid.

Choice C rationale

Warfarin is an anticoagulant and is not typically used in the management of cirrhosis as it could increase the risk of bleeding complications, especially in clients with liver dysfunction.

Choice D rationale

Measuring the client's abdominal girth is crucial for monitoring the progression of ascites, a common complication of cirrhosis.

Choice E rationale

Encouraging weight lifting is not advisable as it can exacerbate varices and increase the risk of bleeding in clients with cirrhosis.

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

A nurse is reviewing the arterial blood gas values for a client.The pH is 7.32, PaCO₂ 48 mm Hg and the HCO₃ is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid-base balances?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 73-year-old male client in the emergency department (ED). Exhibits It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications.

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

Explanation

A nurse is planning care for a client who has cirrhosis of the liver.Which of the following actions should the nurse include in the plan? (Select all that apply.)

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

Explanation

A nurse is providing education to a client who is suspected of having type 1 diabetes mellitus.Which of the following statements would the nurse include in client education?

A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and is short of breath.When reviewing the client's arterial blood gases (ABGs) which of the following conditions should the nurse anticipate the client to be experiencing?

A nurse is assessing a client who has a pneumothorax with a chest tube in place.For which of the following findings should the nurse notify the provider?

A nurse is providing care for a client diagnosed with diabetic ketoacidosis (DK

A nurse is caring for a 65-year-old male client who is admitted to the emergency department for fatigue. Exhibits Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply)

A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down.Antacids do not help.The provider suspects acute pancreatitis.Which of the following laboratory test results should the nurse expect to see?

A nurse is caring for a client who has pleural effusion and has undergone thoracentesis.The nurse should identify which of the following findings as indicative of an infection?

A nurse is reviewing the arterial blood gas values for a client.
The pH is 7.32, PaCO₂ 48 mm Hg and the HCO₃ is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid-base balances?