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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Ripe bananas: Ripe bananas are typically recommended to help manage diarrhea because they are low in fiber and can help firm up stool.
B. Caffeinated beverages: Caffeinated beverages can act as stimulants, increasing bowel motility and potentially leading to diarrhea.
C. White rice: White rice is generally binding and can help manage diarrhea, not cause it.
D. Low-fiber cereal: Low-fiber cereals are less likely to cause diarrhea as they do not promote bowel motility.
Correct Answer is ["A","D","E"]
Explanation
A. Crackles upon auscultation: Crackles in the lungs can indicate fluid overload, leading to pulmonary edema.
B. Urine-specific gravity greater than 1.030: A urine-specific gravity greater than 1.030 typically indicates dehydration, not fluid volume excess.
C. Swelling at the IV site: Swelling at the IV site usually indicates infiltration or phlebitis, not necessarily fluid volume excess.
D. Bounding pulse: A bounding pulse is a sign of increased blood volume and can indicate fluid overload.
E. Pitting edema: Pitting edema is a common sign of fluid volume excess, particularly in the extremities.
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