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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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Dilute each medication with 10 mL of tap water. Typically sterile or distilled water is preferred for diluting medications to reduce the risk of infection.

B. Flush the NG feeding tube with 30 mL of water immediately following medication administration. Flushing the tube before and after medication administration helps ensure the tube remains patent and the medication is fully delivered.

C. Maintain the head of the bed in a flat position for 30 minutes following medication administration. The head of the bed should be elevated to at least 30-45 degrees to prevent aspiration during and after medication administration.

D. Mix the three medications together prior to administering. Medications should not be mixed together unless compatibility has been confirmed, as mixing can cause interactions or blockages in the tube.

A. Increased muscle tone of the bowel B. Decreased pH of the stomach C. Decreased intestinal peristalsis D. Increased gastric acid production

Correct Answer is C

Explanation

A. Increased muscle tone of the bowel: Aging generally leads to decreased muscle tone and motility in the bowel, not increased. This option is incorrect.

B. Decreased pH of the stomach: Aging is associated with a decrease in gastric acid production, leading to a higher (less acidic) pH, not a lower (more acidic) pH. This option is incorrect.

C. Decreased intestinal peristalsis: Aging commonly results in decreased intestinal peristalsis, which can lead to constipation and other digestive issues. This option is correct.

D. Increased gastric acid production: Older adults typically experience decreased gastric acid production, not an increase. This option is incorrect.

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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 preparing to administer three liquid medications to a client who has an Needing tube with continuous enteral feedings. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is teaching a newly licensed nurse about physiological changes in the digestive system that occur with aging. The nurse should include older adults might experience which of the following physiological changes?

Correct Answer is C

Explanation

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