The nurse is calculating the output of a client at the end of the shift. The nurse notes the following: the client voided 400 mL at 1100 and 350 at 1415. The chest tube was previously marked at 155 mL and is now 175 mL. The nasogastric tube has 575 mL in the drainage container and the Jackson Pratt drain had 25 mL emptied from it. How many ml's should the nurse record as output for the shift

Answer and Explanation

The Correct Answer is ["1370"]

To calculate total output, we sum all recorded outputs:

Urine output:
- 400 mL + 350 mL = 750 mL
Chest tube drainage:
- 175 mL (current) - 155 mL (previous) = 20 mL
Nasogastric tube drainage: 575 mL
Jackson-Pratt drain output: 25 mL

Total Output = 750 + 20 + 575 + 25 = 1,370 mL

Correct Answer: 1,370 mL

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Correct Answer is A

Explanation

A. Chloride level would be decreased: Metabolic alkalosis is often associated with hypochloremia, especially when caused by vomiting or diuretics. However, hypokalemia is more clinically significant.

B. Sodium level would be elevated: Sodium levels are not directly affected by metabolic alkalosis.

C. Magnesium level would be elevated: Magnesium levels are not significantly altered in metabolic alkalosis.

D. Potassium level would be decreased: A bicarbonate level of 30 mEq/L indicates metabolic alkalosis. In alkalosis, hydrogen ions shift out of the cells, and potassium moves into the cells, leading to hypokalemia.

A. pH 7.30. PaCO2 38 P02 92, HCO3 15 B. pH 7.32. PaCO2 56, PO2 84, HCO3 26 C. pH 7.37. PaCO2:45, PO2 91, HCO3 24 D. pH 7.48. PaCO2 32, PO2 94. HCO3 22

Correct Answer is B

Explanation

A. pH 7.30, PaCO₂ 38, HCO₃ 15: Metabolic acidosis (low HCO₃, normal PaCO₂).

B. pH 7.32, PaCO₂ 56, PO₂ 84, HCO₃ 26: The client has respirations of 8/min, which indicates hypoventilation → CO₂ retention → respiratory acidosis. pH 7.32 indicates acidosis. PaCO₂ 56 mmHg - Elevated CO₂ (hypercapnia), confirming respiratory acidosis. HCO₃ 26- Normal bicarbonate suggests that compensation has not yet occurred

C. pH 7.37, PaCO₂ 45, HCO₃ 24: Normal ABG values.

D. pH 7.48, PaCO₂ 32, HCO₃ 22: Respiratory alkalosis (low PaCO₂ due to hyperventilation, not hypoventilation).

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Naxlex Comprehensive Predictor Exams

The nurse is looking at a set of ABG's and notices a bicarbonate level of 30. What other change would the nurse expect to see in their lab values?

Correct Answer is A

Explanation

The client has just returned from OR with respirations of 8 per minute. What set of ABG's would the nurse expect to see?

Correct Answer is B

Explanation

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