A nurse is caring for a client who has COPD. The nurse should identify the client is at

for which of the following acid-base imbalances?

Metabolic Acidosis

Respiratory alkalosis

Metabolic alkalosis

Respiratory acidosis

Answer and Explanation

The Correct Answer is D

A. Metabolic Acidosis: Clients with COPD are more prone to respiratory acid-base imbalances rather than metabolic ones.

B. Respiratory Alkalosis: COPD is characterized by chronic retention of CO₂, leading to acidosis, not alkalosis.

C. Metabolic Alkalosis: Metabolic alkalosis is not commonly associated with COPD.

D. Respiratory Acidosis: Clients with COPD are at risk for respiratory acidosis due to the retention of carbon dioxide (CO₂), which occurs when alveolar ventilation is impaired.

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Correct Answer is B

Explanation

A. "I will need to empty my bladder regularly and completely." Regular and complete bladder emptying helps to flush bacteria from the urinary tract, reducing the risk of UTIs. This statement indicates correct understanding and does not need further teaching.

B. "I will need to wipe my perineal area from back to front after urination." Wiping from back to front can introduce bacteria from the rectal area into the urethra, increasing the risk of UTIs. The correct practice is to wipe from front to back. This statement indicates a need for further teaching.

C. "I need to drink 8 cups of liquid each day." Adequate fluid intake helps to dilute urine and flush out bacteria, reducing the risk of UTIs. This statement is correct and does not need further teaching.

D. "I will need to drink apple cider vinegar each day." Although apple cider vinegar is sometimes suggested as a home remedy, there is no strong evidence supporting its use in UTI prevention. However, this statement does not indicate a harmful practice and may not necessarily need further teaching unless it is replacing evidence-based methods. The key incorrect statement is related to wiping technique.

A. Parasites B. Steatorrhea C. Bacteria D. Blood

Correct Answer is D

Explanation

A. Blood glucose levels return to the expected reference range. Blood glucose levels are more likely to be elevated due to prolonged stress during the exhaustion stage, not normalized.

B. Blood pressure increases. During the exhaustion stage, the body's resources are depleted, and blood pressure may drop rather than increase.

C. Depression: The exhaustion stage is characterized by physical and psychological symptoms such as depression, fatigue, and reduced immune function.

D. Dilation of pupils: Pupil dilation occurs during the alarm stage of the general adaptation syndrome, not during the exhaustion stage.

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A nurse is caring for a client who has COPD. The nurse should identify the client is at

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client about measures to prevent urinary tract infections (UTIs). Which of the following client statements indicates a need for further teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances?

Correct Answer is D

Explanation

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