A nurse is collecting data from a client who reports persistent vomiting, dizziness, palpitations, and numbness and tingling in his fingers and toes, and around his mouth.
The nurse notes the client's respirations are slow and shallow.
The nurse should suspect that the client has developed which of the following acid-base imbalances?

Metabolic acidosis.

Metabolic alkalosis.

Respiratory alkalosis.

Respiratory acidosis.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Metabolic acidosis would likely present with rapid, deep breathing (Kussmaul respirations), not slow and shallow breathing.

Choice B rationale:

The client’s symptoms of vomiting (which can cause a loss of stomach acid), dizziness, palpitations, and numbness and tingling in the extremities and around the mouth are consistent with metabolic alkalosis.

Choice C rationale:

Respiratory alkalosis would likely present with rapid breathing, not slow and shallow breathing.

Choice D rationale:

Respiratory acidosis would likely present with rapid, shallow breathing, not slow and shallow breathing.

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Correct Answer is A

Explanation

Choice A rationale:

Asking the client’s full name and date of birth is the most reliable method of identification.

Choice B rationale:

Verifying the client’s room number is not reliable because room assignments can change.

Choice C rationale:

Asking a family member to verify the client’s identity is not always possible or reliable.

Choice D rationale:

Checking the client’s name on the medication administration record (MAR) is important but should be done in conjunction with direct client identification.

A. Encourage range-of-motion exercises of the foot. B. Provide the client with a light snack. C. Apply ice to the ankle. D. Apply a compression bandage. E. Elevate the foot.

Correct Answer is ["C","D","E"]

Explanation

Choice A rationale:

Encouraging range-of-motion exercises of the foot is not advisable because it can cause further injury to the ankle.

Choice B rationale:

Providing the client with a light snack is not directly related to the care of an ankle injury.

Choice C rationale:

Applying ice to the ankle can help reduce swelling and pain.

Choice D rationale:

Applying a compression bandage can help reduce swelling.

Choice E rationale:

Elevating the foot can help reduce swelling by promoting venous return.

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Naxlex Comprehensive Predictor Exams

Before administering client medications, the nurse must identify the client.Which of the following methods of identification should the nurse use?

Correct Answer is A

Explanation

A nurse in an urgent care center is caring for a client who fell and injured her ankle.The ankle appears swollen and ecchymotic.While the client waits for the x-ray technician, which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse is collecting data about the fluid status of four clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit?

A nurse is preparing to count the controlled substances in the secure cabinet.Which of the following actions should the nurse take?

A nurse is caring for a client whose arterial blood gas results show the following results: pH: 7.2, PaCO2: 50 mm Hg, HCO3: 24 mEq/L. The nurse should identify the client is experiencing which of the following acid-base conditions?

A nurse in the emergency department is assisting with the care of a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound.Which of the following actions should the nurse take first?

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?

A patient with CAD is asking the nurse about the mechanisms of the heart.It would be appropriate for the nurse to respond that when the left ventricle contracts, it pushes blood through the semilunar valve to the:

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?

A nurse is reviewing the medical record of a client who has a fluid volume deficit.The nurse should expect which of the following findings?