A nurse in a public clinic is researching health data on culturally diverse populations in the community. Which of the following population groups should the nurse anticipate having end- stage renal disease due to diabetes mellitus?

Black American

Hispanic/Latino

Non-Hispanic White

Asian American

Answer and Explanation

The Correct Answer is A

A.   Black Americans have a higher prevalence of diabetes mellitus compared to other racial/ethnic groups in the United States, and diabetes is a leading cause of end-stage renal disease.
B.   While Hispanic/Latino individuals also have an increased risk of diabetes mellitus, it is less pronounced compared to Black Americans.
C.   Non-Hispanic White individuals have a lower prevalence of diabetes mellitus compared to Black and Hispanic/Latino populations.
D.   Asian Americans have a varied prevalence of diabetes mellitus depending on specific ethnicities within this group, but it is generally lower than in Black Americans.

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Correct Answer is B

Explanation

A. This is incorrect because the pH is indicative of alkalosis, not acidosis, and the body has not compensated.
B. The arterial blood gas (ABG) values provided indicate a pH of 7.6, which is above the normal range (7.35-7.45), suggesting alkalosis. The PaCO2 is low at 31 mm Hg, indicating hyperventilation, which is a respiratory process. Since the HCO3 is normal at 25 mmol/L, it suggests that the metabolic system is not the cause of the alkalosis. The body has not had time to compensate for the high pH with renal adjustments to the bicarbonate level, which would be seen in a partially compensated state.
C. This is incorrect because the bicarbonate level is normal, suggesting the metabolic system is not the cause.
D. This is incorrect because the bicarbonate level is normal, suggesting the metabolic system is not the cause.

A. Bicarbonate excess B. Muscle weakness C. Kussmaul's respirations D. Circumoral paresthesia E. Dizziness

Correct Answer is ["B","D","E"]

Explanation

A. Bicarbonate excess is not a clinical manifestation but rather the underlying cause of metabolic alkalosis.
B. Metabolic alkalosis can lead to potassium depletion, which may cause muscle weakness.
C. Kussmaul's respirations, characterized by deep and labored breathing, are more commonly associated with metabolic acidosis, not alkalosis, as the body tries to compensate for acidemia by expelling more carbon dioxide through deep breaths.
D. Alkalosis can cause peripheral vasodilation and decreased calcium ionization, leading to circumoral and digital paresthesia.
E. Alkalosis can cause cerebral vasoconstriction and decreased cerebral perfusion, leading to dizziness.

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A nurse in a public clinic is researching health data on culturally diverse populations in the community. Which of the following population groups should the nurse anticipate having end- stage renal disease due to diabetes mellitus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

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