The nurse is caring for a patient who is lethargic and dehydrated. Arterial blood gas (ABG) results show pH 7.50, PaO2 85 mmHg, PaCO2 45 mmHg, HCO3 35 mEq/L. What acid-base imbalance will the nurse recognize the patient is at risk for?

Respiratory alkalosis, uncompensated

Respiratory acidosis, partially compensated

Metabolic acidosis, uncompensated

Metabolic alkalosis, partially compensated

Answer and Explanation

The Correct Answer is D

Choice A reason: Respiratory alkalosis with uncompensated imbalance would show a low PaCO2, not a normal value.

Choice B reason: Respiratory acidosis with partially compensated imbalance would show a low pH and high PaCO2 with an elevated bicarbonate level.

Choice C reason: Metabolic acidosis with uncompensated imbalance would show a low pH and low bicarbonate level.

Choice D reason: Metabolic alkalosis with partially compensated imbalance is indicated by the elevated pH and bicarbonate level, while

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Correct Answer is A

Explanation

Choice A reason: Ondansetron is an antiemetic given to control nausea and vomiting, which are common symptoms in patients with inflammatory bowel disease, especially when they have a flare-up.

Choice B reason: Vitamin B12 injections are crucial for preventing pernicious anemia but are not specific treatments for acute management of inflammatory bowel disease symptoms.

Choice C reason: Antidiarrheal medications should be used cautiously in inflammatory bowel disease as they can worsen symptoms or lead to complications like toxic megacolon.

Choice D reason: Beta-adrenergic blockers are not used to reduce bowel motility and are not a part of the standard treatment regimen for inflammatory bowel disease.

A. "I can eat any foods I want before dialysis as long as I don't drink too much fluid." B. "I need to report any unusual changes in my access site, like redness or swelling." C. "I will need to check my blood pressure regularly to monitor for changes during dialysis." D. "I should contact my healthcare provider if I notice swelling in my hands, feet, or ankles." E. "I understand that hemodialysis will permanently cure my kidney disease."

Correct Answer is ["A","E"]

Explanation

Choice A reason: Eating any foods before dialysis as long as fluid intake is limited is incorrect. Patients undergoing hemodialysis need to follow specific dietary restrictions to manage electrolyte balance and prevent complications. A renal diet typically limits potassium, phosphorus, and sodium intake, in addition to fluid restrictions.

Choice B reason: Reporting any unusual changes in the access site, like redness or swelling, is correct. Changes at the access site can indicate infection or other complications and require immediate attention.

Choice C reason: Checking blood pressure regularly to monitor for changes during dialysis is correct. Blood pressure monitoring is essential during dialysis to detect hypotension or hypertension and adjust treatment accordingly.

Choice D reason: Contacting the healthcare provider if swelling in hands, feet, or ankles is noticed is correct. Swelling can indicate fluid overload or other complications that need to be addressed.

Choice E reason: Understanding that hemodialysis will permanently cure kidney disease is incorrect. Hemodialysis is a treatment that replaces kidney function but does not cure kidney disease. It manages symptoms and removes waste products from the blood.

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The nurse is caring for a patient who is lethargic and dehydrated. Arterial blood gas (ABG) results show pH 7.50, PaO2 85 mmHg, PaCO2 45 mmHg, HCO3 35 mEq/L. What acid-base imbalance will the nurse recognize the patient is at risk for?

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a patient who is diagnosed with inflammatory bowel disease and is requiring inpatient treatment at a hospital. What medication will the nurse provide when caring for this patient?

Correct Answer is A

Explanation

The nurse is teaching a patient who is scheduled for hemodialysis about the process and potential complications. Which of the following statements by the patient indicates to the nurse the need for further teaching? (Select All That Apply)

Correct Answer is ["A","E"]

Explanation

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The nurse is caring for a patient who is lethargic and dehydrated. Arterial blood gas (ABG) results show pH 7.50, PaO2 85 mmHg, PaCO2 45 mmHg, HCO3 35 mEq/L. What acid-base imbalance will the nurse recognize the patient is at risk for?

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