Arterial blood gases (ABGs) have been drawn on the client. The nurse reviews the results. pH is 7.31 PaCO2 50 mm Hg (6.65 kPa) HCO3 26 mEq/L (26 mmol/L) How will the nurse interpret these ABG results.

Respiratory Decompression

Respiratory Alkalosis

Respiratory PH

Respiratory Acidosis

Answer and Explanation

The Correct Answer is D

a) Respiratory Decompression: "Respiratory Decompression" is not a term used in ABG interpretation.

b) Respiratory Alkalosis: Respiratory alkalosis is characterized by a pH greater than 7.45 and a PaCO2 less than 35 mm Hg. In this case, the pH is low (7.31), and the PaCO2 is elevated, which is not consistent with respiratory alkalosis.

c) Respiratory PH: "Respiratory PH" is not a proper ABG term.

d) Respiratory Acidosis: The pH is 7.31, which is acidotic (normal range is 7.35-7.45). The PaCO2 is 50 mm Hg (elevated), indicating that the cause of the acidosis is respiratory in nature, as the kidneys have not yet compensated with HCO3 (bicarbonate).

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

Explanation

a) Daily Weights: Daily weights are an important measure for assessing fluid status, as they can indicate fluid retention or loss.

b) Moisture of oral cavity: The moisture of the oral cavity can be an indicator of dehydration, which affects fluid balance.

c) Intake and Output: Monitoring intake and output is essential for assessing the balance of fluids and electrolytes.

d) Edema: Edema, or fluid retention, is a key sign of altered fluid and electrolyte status.

e) Listen: While listening to lung sounds or heart sounds may provide indirect information about fluid balance, the word "listen" alone is too vague and not a specific parameter for fluid and electrolyte assessment.

f) Skin turgor: Skin turgor is a sign of hydration status. Decreased turgor may indicate dehydration.

A. Clear Liquid Diet B. Renal Diet C. Mechanically Altered Diet D. Pureed Diet

Correct Answer is A

Explanation

a) Clear Liquid Diet: A clear liquid diet consists of liquids that are clear at room temperature, such as broth, tea, and clear juices. It requires minimal digestion and leaves minimal residue, making it ideal for clients with gastrointestinal issues, post-surgery, or before certain diagnostic tests.

b) Renal Diet: A renal diet is designed for patients with kidney disease and focuses on limiting protein, sodium, potassium, and phosphorus intake. It is not composed solely of clear liquids.

c) Mechanically Altered Diet: A mechanically altered diet involves foods that are chopped, pureed, or ground to aid in chewing or swallowing, not just clear liquids.

d) Pureed Diet: A pureed diet consists of foods that are blended or mashed into a smooth consistency, not clear liquids that become fluid at body temperature.

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Arterial blood gases (ABGs) have been drawn on the client. The nurse reviews the results. pH is 7.31 PaCO2 50 mm Hg (6.65 kPa) HCO3 26 mEq/L (26 mmol/L) How will the nurse interpret these ABG results.

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Naxlex Comprehensive Predictor Exams

Which parameters are to be considered in Physical Assessment for Fluid and Electrolyte status? Select all that apply

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

Explanation

What type of diet is composed of clear liquid foods that become fluid at body temperature and requires minimal digestion and leaves minimal residue?

Correct Answer is A

Explanation

Arterial blood gases (ABGs) have been drawn on the client. The nurse reviews the results. pH is 7.31 PaCO2 50 mm Hg (6.65 kPa) HCO3 26 mEq/L (26 mmol/L) How will the nurse interpret these ABG results.

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