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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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Correct Answer is B

Explanation

A. Clubbing is a sign of chronic hypoxia, not acute hypoxemia.

B. Cyanosis, a bluish discoloration of the skin and mucous membranes, is an indicator of acute hypoxemia.

C. Palpating for decreased tactile fremitus is related to fluid or air in the lungs, not specifically hypoxemia.

D. Auscultation for adventitious breath sounds can reveal respiratory issues but does not directly confirm hypoxemia.

Correct Answer is "{\"xRanges\":[89.96875,99.96875],\"yRanges\":[232.87109375,242.87109375]}"

Explanation

The posterior tibial pulse is typically palpated just behind the medial malleolus, which is the bony prominence on the inner side of the ankle. To locate this pulse, one should place their fingers in the groove between the medial malleolus and the Achilles tendon.

While checking the client's medication administration record, it was determined the client

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Naxlex Comprehensive Predictor Exams

You are examining a client with respiratory distress. Which physical assessment would best determine if the client has acute hypoxemia?

Correct Answer is B

Explanation

A nurse is assessing a client's peripheral circulation. In which of the following locations should the nurse palpate to assess the posterior tibial pulse? (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)

Correct Answer is "{\"xRanges\":[89.96875,99.96875],\"yRanges\":[232.87109375,242.87109375]}"

Explanation

A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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