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A nurse is caring for a client who has acute kidney injury.
The client's ABGs are: pH: 7.26, PaCO2: 30 mm Hg, HCO3: 14 mEq/L. Which of the following acid imbalances should the nurse identify the client is experiencing?

Metabolic alkalosis.

Respiratory acidosis.

Metabolic acidosis.

Respiratory alkalosis.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Metabolic alkalosis is incorrect because it would present with a high pH and high HCO3, which is not the case here.

Choice B rationale:

Respiratory acidosis is incorrect because it would present with a low pH and high PaCO2, which is not the case here.

Choice C rationale:

Metabolic acidosis is correct because it presents with a low pH and low HCO3, which matches the client’s ABG results.

Choice D rationale:

Respiratory alkalosis is incorrect because it would present with a high pH and low PaCO2, which is not the case here.

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Correct Answer is B

Explanation

Choice A rationale:

Changing soiled linens daily is important, but it is not the most effective way to prevent the spread of pathogens.

Choice B rationale:

Hand hygiene is the single most effective way to prevent the spread of pathogens. It should be performed before and after every client interaction, before and after any procedure, and after any contact with potentially infectious material.

Choice C rationale:

Discarding used syringes in appropriate containers is important for safety, but it does not directly prevent the spread of pathogens.

Choice D rationale:

Properly disposing of contaminated equipment is important, but hand hygiene is more effective at preventing the spread of pathogens.

A. Request a prescription for an analgesic for the client. B. Check the client's oxygen saturation level. C. Encourage the client to take slow, deep breaths. D. Obtain blood work from the client.

Correct Answer is C

Explanation

Choice A rationale:

Requesting a prescription for an analgesic for the client is a part of conventional medical treatment.

Choice B rationale:

Checking the client’s oxygen saturation level is a part of conventional medical treatment.

Choice C rationale:

Encouraging the client to take slow, deep breaths can help manage pain and is a holistic nursing approach.

Choice D rationale:

Obtaining blood work from the client is a part of conventional medical treatment.

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A nurse is caring for a client who has acute kidney injury.The client's ABGs are: pH: 7.26, PaCO2: 30 mm Hg, HCO3: 14 mEq/L. Which of the following acid imbalances should the nurse identify the client is experiencing?

Nursing Test Bank

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A nurse is caring for a client who has acute kidney injury.
The client's ABGs are: pH: 7.26, PaCO2: 30 mm Hg, HCO3: 14 mEq/L. Which of the following acid imbalances should the nurse identify the client is experiencing?