A nurse is collecting data from a client who has pneumonia and is experiencing acute respiratory acidosis. Which of the following manifestations should the nurse expect to find?
Circumoral numbness and tingling
Muscle flaccidity
Decreased level of consciousness
Cool, clammy skin
The Correct Answer is C
Acute respiratory acidosis occurs when there is inadequate excretion of carbon dioxide due to respiratory dysfunction, leading to an increase in carbon dioxide levels (hypercapnia) and subsequent acidosis (decrease in pH).
Manifestations of acute respiratory acidosis include:
A. Circumoral numbness and tingling - This is associated with respiratory alkalosis, not acidosis. B. Muscle flaccidity - This is more commonly seen in hyperkalemia or conditions affecting neuromuscular transmission. C. Decreased level of consciousness - This is a key manifestation of acute respiratory acidosis due to the effects of hypercapnia on the central nervous system. D. Cool, clammy skin - This is not typically associated with acute respiratory acidosis; instead, it might be seen in shock or hypoperfusion states.
Therefore, the nurse should expect to find a decreased level of consciousness in a client experiencing acute respiratory acidosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Let's calculate how many tablets the nurse should administer:
Dosage prescribed: The doctor prescribed digoxin 0.25 mg.
Tablet strength: Each available tablet contains 0.125 mg of digoxin.
To find out how many tablets are needed, we can divide the prescribed dosage by the amount of digoxin per tablet:
Number of tablets = Prescribed dosage / Amount of digoxin per tablet
Number of tablets = 0.25 mg / 0.125 mg/tablet
Since we might get a decimal result due to the division, we need to round to the nearest whole number of tablets the nurse can administer for safety reasons.
In this case, dividing 0.25 mg by 0.125 mg/tablet gives us 2.
Therefore, rounding up to the nearest whole number of tablets, the nurse should administer 2 tablets.
Correct Answer is C
Explanation
A. Verify that the client's valuables have been secured:
While securing the client's valuables is important for their safety and security during hospitalization, it does not directly address the prevention of postoperative complications.
B. Discuss a discharge date with the client:
Discussing a discharge date is part of discharge planning but does not directly address the prevention of postoperative complications.
C. Inform the client about the need for sequential compression devices:
Sequential compression devices (SCDs) are mechanical devices that help prevent venous stasis and deep vein thrombosis (DVT) by promoting circulation in the lower extremities. They are commonly used in surgical patients to reduce the risk of blood clots and related complications.
D. Review the facility's visitation policy with the client and family:
Reviewing the facility's visitation policy is important for ensuring that the client and family understand the rules and regulations regarding visitors. While visitor policies contribute to the overall well-being of the client during their hospital stay, they do not directly address the prevention of postoperative complications like the use of sequential compression devices does.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.