A nurse in a clinic is caring for an older adult client.

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Answer and Explanation

The Correct Answer is []

Digoxin Toxicity: The client’s symptoms (nausea, vomiting, diarrhea, weakness), vital signs (bradycardia), and lab results (high digoxin level, low potassium and magnesium) suggest digoxin toxicity.

Cardiac Monitor: To detect any arrhythmias resulting from digoxin toxicity.

Icterus: To assess liver function, which could be impacted in severe toxicity.

Electrolytes: Imbalances in potassium and magnesium can worsen digoxin toxicity and need to be corrected.

Fever: The fever might indicate an infection or inflammatory process, which can affect treatment and recovery.

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Correct Answer is {"dropdown-group-1":"A"}

Explanation

Encephalopathy is correct.
Rational: The client is experiencing alterations in their level of consciousness and has an elevated ammonia level. Encephalopathy is indicative of liver failure due to cirrhosis.

Finding
Ammonia level is correct.
Rational: The client is experiencing encephalopathy which can be a result of an elevated ammonia level. An elevated ammonia level is indicative of liver failure due to cirrhosis.

A. pH 7.25, HCO₃- 19 mEq/L, PaCO₂ 30 mm Hg B. pH 7.30, HCO₃- 26 mEq/L, PaCO₂ 50 mm Hg C. pH 7.50, HCO₃- 20 mEq/L, PaCO₂ 32 mm Hg D. pH 7.55, HCO₃- 30 mEq/L, PaCO₂ 31 mm Hg

Correct Answer is A

Explanation

A. pH 7.25, HCO₃- 19 mEq/L, PaCO₂ 30 mm Hg indicates metabolic acidosis with partial respiratory compensation. This is a common finding in chronic kidney disease due to the kidneys' reduced ability to excrete hydrogen ions and reabsorb bicarbonate.

B. pH 7.30, HCO₃- 26 mEq/L, PaCO₂ 50 mm Hg suggests respiratory acidosis with a normal bicarbonate level, which is not typical for chronic kidney disease.

C. pH 7.50, HCO₃- 20 mEq/L, PaCO₂ 32 mm Hg indicates respiratory alkalosis, which is not characteristic of chronic kidney disease.

D. pH 7.55, HCO₃- 30 mEq/L, PaCO₂ 31 mm Hg indicates metabolic alkalosis, which is also not typical for chronic kidney disease.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the emergency department (ED). Exhibits The client is exhibiting manifestations of Condition due to the client's Finding

Correct Answer is {"dropdown-group-1":"A"}

Explanation

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Correct Answer is A

Explanation

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