A nurse is caring for a client who the provider suspects might have pernicious anemia. The nurse should expect the provider to prescribe which of the following diagnostic tests?

Schilling test

Haptoglobin

Sweat test

Antinuclear antibodies

Answer and Explanation

The Correct Answer is A

A. Schilling test: This is the correct answer. The Schilling test is used to diagnose pernicious anemia, which is caused by vitamin B12 deficiency. The test measures the absorption of vitamin B12 in the gastrointestinal tract.

B. Haptoglobin: Haptoglobin is a test used to assess hemolysis and is not specific for pernicious anemia.

C. Sweat test: The sweat test is used to diagnose cystic fibrosis and is not relevant to the diagnosis of pernicious anemia.

D. Antinuclear antibodies: Antinuclear antibodies are tested to diagnose autoimmune disorders, such as systemic lupus erythematosus (SLE), and are not specific to pernicious anemia.

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Correct Answer is B

Explanation

A. Respiratory alkalosis: Respiratory alkalosis is characterized by a decrease in carbonic acid (CO2) due to hyperventilation, leading to an increased pH. Shallow respirations would not typically cause respiratory alkalosis.

B. Respiratory acidosis: This is the correct answer. Shallow respirations result in inadequate elimination of CO2, leading to an excess of carbonic acid and the development of respiratory acidosis.

C. Metabolic acidosis: Metabolic acidosis is characterized by a decrease in bicarbonate (HCO3-), not carbonic acid (CO2). Shallow respirations would not directly contribute to metabolic acidosis.

D. Metabolic alkalosis: Metabolic alkalosis is characterized by an increase in bicarbonate (HCO3-). Shallow respirations would not typically cause metabolic alkalosis.

A. Disorientation B. Barrel-shaped chest C. Yellow sputum D. Nebulizer use E. Ankle edema F. SaO2 92% G. Clubbing of fingers

Correct Answer is ["A","B","C","E","F"]

Explanation

A. Disorientation:

This may indicate a neurological or cognitive issue and requires further assessment.

B. Barrel-shaped chest:

This is a characteristic finding in COPD, but any change or worsening may need evaluation.

C. Yellow sputum:

Yellow or greenish sputum may indicate an infection, and follow-up is needed.

D. Nebulizer use:

Nebulizer use is part of the prescribed treatment.

E. Ankle edema:

Edema can be a sign of heart failure or other cardiovascular issues and should be investigated.

F. SaO2 92%:

Oxygen saturation of 92% is below the normal range. It may indicate respiratory compromise and needs attention.

G. Clubbing of fingers:

While clubbing can be associated with chronic respiratory conditions, it is not an immediate concern.

H. Lives alone:

Living alone may impact the client's support system but does not require immediate medical attention.

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A nurse is caring for a client who the provider suspects might have pernicious anemia. The nurse should expect the provider to prescribe which of the following diagnostic tests?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative and whose respirations are shallow and 9/min. Which of the following acid-based imbalances should the nurse identify the client as being at risk for developing initially?

Correct Answer is B

Explanation

A nurse is caring for a client who has COPD. Medication Indacaterol 75 mcg, one inhalation daily Acetylcysteine 20% solution 3 to 5 ml nebulizer every 6 to 8 hr while awake Select the 5 findings that require follow-up.

Correct Answer is ["A","B","C","E","F"]

Explanation

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