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The nurse reviews the arterial blood gas (ABG) results of a client and notes the results:

pH 7.46 pH units, [normal range: 7.35-7.45]

Paco2 of 30 mm Hg (30 mmol/L), [normal range: 35-45]

HCO3- of 20 mEq/L (20 mmol/L). [normal range [22-26]

When analyzing the client's ABG results, which condition would the nurse determine the client is experiencing?

Metabolic acidosis

Metabolic alkalosis

Respiratory alkalosis

Respiratory acidosis

Answer and Explanation

The Correct Answer is C

A. Metabolic acidosis would present with a low pH and low HCO3-.

B. Metabolic alkalosis would show elevated HCO3- with a normal or elevated PaCO2.

C. The elevated pH and decreased PaCO2 indicate respiratory alkalosis, likely due to hyperventilation.

D. Respiratory acidosis would involve a low pH and high PaCO2.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. A well-defined mass is typically benign, while malignant tumors are often irregular and less defined.

B. Nipple retraction or dimpling can be a sign of a malignant tumor because cancer can cause changes in the breast's structure.

C. Stretch marks are not related to malignancy and are often a result of changes in skin elasticity.

D. Tenderness of the breast is more commonly associated with benign conditions, such as fibrocystic changes, rather than malignancy.

A. Amber/dark colored urine B. Weak, thready pulse C. Distended neck veins D. Bradycardia E. Decreased capillary refill

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

Explanation

A. Amber or dark-colored urine is a sign of dehydration and indicates a decrease in fluid volume.

B. A weak, thready pulse is often seen in clients with hypovolemia due to reduced circulating blood volume.

C. Distended neck veins are a sign of fluid overload, not hypovolemia.

D. Bradycardia is typically not associated with hypovolemia; tachycardia is more common.

E. Decreased capillary refill is indicative of reduced perfusion, a symptom of hypovolemia.

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Naxlex Comprehensive Predictor Exams

During a physical examination of a client's breast, which finding would the nurse recognize as a possible indication of a malignant tumor?

Correct Answer is B

Explanation

A nurse is caring for an older adult client. The nurse suspects that the client may be experiencing hypovolemia. For which clinical indicators should the nurse assess the dient that supports this conclusion? (Select All That Apply)

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

Explanation

The nurse in the trauma unit has received a report on a client who has multiple injuries as a result of a motor vehicle crash. Which action should the nurse plan to take first?

The nurse is developing a plan of care for a client who will be admitted to the medical-surgical unit with a diagnosis of deep vein thrombosis (DVT) of the right leg. What should be included in the client's care plan?

While completing a comprehensive assessment of a client who is admitted with chronic obstructive pulmonary disorder, the objective data revealed the client's nails appear convexed and wide with an angle greater than 160 degrees. How would the nurse document this finding?

While checking the client's medication administration record, it was determined the client received the wrong medication. Which action should the nurse implement first?

A nurse should ask the client to assume which position to begin the examination of the breast?

A nurse is assessing an older adult client who is experiencing age-related changes. Which findings should the nurse expect?

The nurse receives four clients in the emergency department from triage at the same time. Which client requires the nurse's immediate attention?

The nurse is admitting a client to the urgent care center. When taking a health history of an older adult client, the nurse would inquire about a history of which eye conditions. Select the four options that apply.