A client's arterial blood gas (ABG) reads: pH 7.18, PaCO2 54 mm Hg, HCO3 26 mEq/L. What condition does the nurse recognize may contribute to the development of this result? Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

Prolonged vomiting

COPD

Chronic renal failure

Anxiety and hyperventilation

Answer and Explanation

The Correct Answer is B

Choice A reason: Prolonged vomiting typically leads to metabolic alkalosis due to the loss of gastric acid, which is not consistent with the ABG results showing acidosis.

Choice B reason: COPD can lead to respiratory acidosis, as indicated by the elevated PaCO2 and low pH in the ABG results, making it a likely contributor to these findings.

Choice C reason: Chronic renal failure can lead to metabolic acidosis, but the HCO3 level is within the normal range, which does not support this as the primary condition.

Choice D reason: Anxiety and hyperventilation usually result in respiratory alkalosis due to the excessive exhalation of CO2, which is the opposite of what the ABG results show.

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Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Slowed movement when rising from a chair is a common symptom of Parkinson's disease, known as bradykinesia.

Choice B reason: Chronic diarrhea is not typically associated with Parkinson's disease.

Choice C reason: Difficulty swallowing, or dysphagia, is a common issue in Parkinson's disease due to impaired muscle control.

Choice D reason: A shuffling gait is characteristic of Parkinson's disease, often referred to as "festinating gait."

Choice E reason: Lower extremity edema is not a typical symptom of Parkinson's disease and may indicate other health issues.

A. Oral temperature of 99.8°F (37.7°C) B. Post-operative hemoglobin of 10.9 g/dL (normal range: 12-16 g/dL) C. Client report of pressure sensation at the incision site D. Client report of 5/10 pain at the incision site

Correct Answer is C

Explanation

Choice A reason: An oral temperature of 99.8°F (37.7°C) post-operatively may not be unusual and does not necessarily indicate a complication.

Choice B reason: A post-operative hemoglobin of 10.9 g/dL is slightly below the normal range but may be expected after surgery due to blood loss.

Choice C reason: A client reporting a pressure sensation at the incision site could indicate bleeding or swelling under the incision, which can be a sign of a hematoma, a serious complication that needs immediate attention.

Choice D reason: Pain at the incision site is expected post-operatively and can be managed with pain relief measures.

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A client's arterial blood gas (ABG) reads: pH 7.18, PaCO2 54 mm Hg, HCO3 26 mEq/L. What condition does the nurse recognize may contribute to the development of this result? Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a client diagnosed with Parkinson's disease. Which data would the nurse anticipate? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

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Correct Answer is C

Explanation

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A client's arterial blood gas (ABG) reads: pH 7.18, PaCO2 54 mm Hg, HCO3 26 mEq/L. What condition does the nurse recognize may contribute to the development of this result? Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

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