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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A. Recommending a psychiatric consult is premature and not appropriate for routine anxiety during an assessment.

B. Starting with invasive aspects may increase the client's anxiety. Instead, the nurse should ease the client into the exam.

C. Staying with the client at all times may not be necessary and could make the client feel more uncomfortable.

D. Using a relaxed manner and reassuring the client can help reduce anxiety and make the physical assessment more comfortable.

Correct Answer is ["0.25"]

Explanation

To calculate the volume of lidocaine to administer, you would use the formula: Volume = Dose / Concentration. Here, the dose needed is 50 mg, and the concentration available is 200 mg/mL. Dividing the required dose by the concentration gives: 50 mg / 200 mg/mL = 0.25 mL.

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Naxlex Comprehensive Predictor Exams

The nurse is preparing to conduct a physical assessment on a client who appears uncomfortable and slightly anxious. Which action is the most appropriate for the nurse to take?

Correct Answer is D

Explanation

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.25"]

Explanation

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

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The nurse is admitting a client to the medical-surgical unit and notes the skin breakdown shown in the diagram. How should the nurse document the finding?

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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?

A nurse has been assigned four patients of which one of the patients is completely immobile. Which complication should the nurse expect as a result of immobility? (Select all that apply.)

A nurse is assessing for cyanosis in a client who has dark skin. Which part of the body should the nurse examine to identify cyanosis in this client?