A client comes to the emergency department with Asthma. Based on the documentation noted below, the nurse suspects that the client has what abnormality?

10/1/2022 at 18:30

Client wheezing, RR44, BP 140/90, HR 104, T 98.4 F, ABG results show pH 7.52 mmHg, HCO3-26, PaO2 90 mmHg C. Wynn RN

Respiratory acidosis

Respiratory alkalosis

Metabolic alkalosis

Metabolic acidosis

Answer and Explanation

The Correct Answer is B

Based on the given documentation, the nurse suspects that the client has respiratory alkalosis. The client's ABG results show a pH of 7.52, which indicates alkalosis and the PaO2 level is slightly low, suggesting respiratory involvement. Rapid breathing (RR44) and wheezing also support the possibility of respiratory alkalosis.

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Correct Answer is C

Explanation

The nurse's instruction to the patient is to take the antibiotic for the full 7 days, even if symptoms improve in a few days. This is because the full course of antibiotics is needed to eliminate the bacteria causing the UTI, even if the patient starts to feel better before the end of the treatment course. Failure to complete the full course of antibiotics can lead to the development of antibiotic resistance and the recurrence of the infection. The other options are not appropriate or eﬀective measures for managing a UTI with antibiotics.

A. Decreasing serum sodium B. Decreasing blood glucose C. Decreasing serum potassium D. Increasing urinary output

Correct Answer is D

Explanation

One of the hallmarks of adrenal insufficiency is dehydration and decreased urinary output, which can lead to electrolyte imbalances such as hyperkalemia and hyponatremia. As treatment begins to take eﬀect, the patient's ﬂuid and electrolyte balance should improve, leading to an increase in urinary output. Acute adrenal insufficiency, also known as the Addisonian crisis, is a life-threatening condition caused by a sudden decrease in cortisol and aldosterone hormones. Treatment usually involves the administration of intravenous glucocorticoids and mineralocorticoids to replace the deficient hormones.
Decreasing serum sodium (a) and decreasing blood glucose (b) are not signs of improvement but rather indicative of continued adrenal insufficiency. Decreasing serum potassium (c) is also not a sign of improvement as it could indicate that the patient is developing hyperkalemia, which is a potential complication of adrenal crisis.

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A client comes to the emergency department with Asthma. Based on the documentation noted below, the nurse suspects that the client has what abnormality? 10/1/2022 at 18:30 Client wheezing, RR44, BP 140/90, HR 104, T 98.4 F, ABG results show pH 7.52 mmHg, HCO3-26, PaO2 90 mmHg C. Wynn RN

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Naxlex Comprehensive Predictor Exams

Trimethoprim and sulfamethoxazole (Bactrim) BID for 7 days is ordered for a patient who has a recurrent relapse of an Escherichia coli UTI. The nurse instructs the patient to

Correct Answer is C

Explanation

A patient is hospitalized with acute adrenal insufficiency. The nurse determines that the patient is responding favorably to treatment on finding:

Correct Answer is D

Explanation

During the nursing assessment of a patient with Graves' disease. The nurse notes a bounding, rapid pulse and systolic hypertension. Based on these assessment data, which question is important for the nurse to ask the patient?

A nurse is admitting a client who has status asthmaticus. The client's ABG results are Ph:7.31, Pa02:74mm Hg, PaC02: 56 mmHg and HCO-3: 26mEq/L The nurse should interpret these laboratory values as which of the following imbalances?

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A nurse is teaching nutritional strategies to a client who has a low calcium level and an allergy to milk. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is preparing to administer oral potassium to a client who has a potassium level of 5.5 mEq/L. Which of the following actions should the nurse take first?

Which information will the nurse include when teaching a patient with newly diagnosed GERD?

A with acute Gl bleeding is receiving normal saline IV at a rate of 500 ml/hr. Which assessment data obtained by the nurse are most important to communicate immediately to the healthcare provider?

A nurse is planning care for a client who has acute gastritis. Which of the following nursing interventions should NOT be included in the plan of care?

A client comes to the emergency department with Asthma. Based on the documentation noted below, the nurse suspects that the client has what abnormality?

10/1/2022 at 18:30

Client wheezing, RR44, BP 140/90, HR 104, T 98.4 F, ABG results show pH 7.52 mmHg, HCO3-26, PaO2 90 mmHg C. Wynn RN