A nurse is caring for a client who has chronic renal failure.

The client displays the following ABG results: pH 7.24, PaCO2 44 mm Hg, PaO2 84 mm Hg. HCO3 18 mEq/L, base excess -2, and O2 saturation 95%.

The nurse should conclude that the client has which of the following acid-base imbalances?

Respiratory acidosis.

Metabolic alkalosis.

Respiratory alkalosis.

Metabolic acidosis.

Answer and Explanation

The Correct Answer is D

The client’s ABG results show a pH of 7.24, which is below the normal range of 7.35-7.45 and indicates acidosis.
The PaCO2 is within the normal range of 35-45 mm Hg, indicating that the acidosis is not caused by a respiratory issue.
The HCO3 level is 18 mEq/L, which is below the normal range of 22-28 mEq/L and indicates a primary metabolic cause for acidosis.
Respiratory acidosis is not indicated by the ABG results as the PaCO2 is within the normal range.
B) Metabolic alkalosis is not indicated by the ABG results as the pH and HCO3 levels are below their respective normal ranges.
C) Respiratory alkalosis is not indicated by the ABG results as the pH is below the normal range and the PaCO2 is within the normal range.

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Correct Answer is A

Explanation

This statement indicates an understanding of the teaching because headache is a common symptom of anemia.

Choice B is incorrect because bradycardia (slow heart rate) is not a common symptom of anemia.
Instead, anemia can cause irregular heartbeats or a fast heartbeat.
Choice Dis incorrect because flushed skin color is not a common symptom of anemia.
Instead, anemia can cause pale or yellowish skin 1.
Choice Cis incorrect because heat intolerance is not a common symptom of anemia.

A. Provide the client with a short-handled reacher. B. Place a plate guard on the client's meal tray. C. Remind the client to use a cane on his left side while ambulating. D. Position the bedside table on the client's left side.

Correct Answer is A

Explanation

The nurse should provide the client with a short-handled teacher.

This can help the client to reach and grasp objects without having to overextend or strain their unaffected arm.
Choice B is also correct.
The nurse should place a plate guard on the client’s meal tray.
This can help prevent food from spilling off the plate and make it easier for the client to eat with one hand.
Choice C is wrong because reminding the client to use a cane on his left side while ambulating could be unsafe as the client’s left side is affected by hemiplegia.
Choice D is wrong because positioning the bedside table on the client’s left side could make it difficult for the client to reach items on the table.

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A nurse is caring for a client who has chronic renal failure. The client displays the following ABG results: pH 7.24, PaCO2 44 mm Hg, PaO2 84 mm Hg. HCO3 18 mEq/L, base excess -2, and O2 saturation 95%. The nurse should conclude that the client has which of the following acid-base imbalances?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has anemia. Which of the following assessment findings should the nurse anticipate with the client's condition?

Correct Answer is A

Explanation

A nurse is planning care for a client who has left-sided hemiplegia following a stroke. Which of the following actions should the nurse include in the plan of care?

Correct Answer is A

Explanation

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A nurse is caring for a client who has chronic renal failure.

The client displays the following ABG results: pH 7.24, PaCO2 44 mm Hg, PaO2 84 mm Hg. HCO3 18 mEq/L, base excess -2, and O2 saturation 95%.

The nurse should conclude that the client has which of the following acid-base imbalances?