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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 C

Explanation

Choice A rationale:

The thickest part of the heart is not the upper chambers but the lower chambers, specifically the left ventricle. This is because it needs to pump blood to the entire body.

Choice B rationale:

Blood leaves the heart through the lower chambers, or ventricles, not the upper chambers.

Choice C rationale:

Blood enters the heart through the upper chambers, or atria. This is where deoxygenated blood from the body and oxygenated blood from the lungs first enter the heart.

Choice D rationale:

The term “ventricles” refers to the lower chambers of the heart, not the upper chambers.

A. Decreased deep-tendon reflexes. B. Skeletal muscle weakness. C. Hypoactive bowel sounds. D. Tingling of the lips.

Correct Answer is D

Explanation

Choice A rationale:

Decreased deep-tendon reflexes are not a common symptom of hypocalcemia. Normal calcium levels in the blood range from 8.5 to 10.2 mg/dL1.

Choice B rationale:

Skeletal muscle weakness is a symptom of hypercalcemia, not hypocalcemia.

Choice C rationale:

Hypoactive bowel sounds are associated with hypercalcemia, not hypocalcemia.

Choice D rationale:

Tingling of the lips is a common symptom of hypocalcemia. This occurs due to increased excitability of the nerves.

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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

Naxlex Comprehensive Predictor Exams

The nurse preceptor is teaching a newly licensed nurse about blood flow through the heart.The nurse preceptor knows teaching has been effective when the newly licensed nurse states that the upper chambers of the heart are:.

Correct Answer is C

Explanation

A nurse is collecting data from a client who has hypocalcemia.Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is reviewing the laboratory values of a client who is receiving total parenteral nutrition (TPN): glucose 72 mg/dL, chloride 100 mEq/L, sodium 138 mEq/L, and potassium 3.0 mEq/L. Which of the following actions should the nurse plan to take?

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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?