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 C

Explanation

Choice A rationale:

Requesting a prescription for an analgesic for the client is a part of conventional medical treatment.

Choice B rationale:

Checking the client’s oxygen saturation level is a part of conventional medical treatment.

Choice C rationale:

Encouraging the client to take slow, deep breaths can help manage pain and is a holistic nursing approach.

Choice D rationale:

Obtaining blood work from the client is a part of conventional medical treatment.

A. 1 slice of wheat bread. B. 1 slice of cheddar cheese. C. 1 banana. D. 1 wedge of cantaloupe.

Correct Answer is C

Explanation

Choice A rationale:

Wheat bread contains some potassium, but not as much as fruits and vegetables.

Choice B rationale:

Cheddar cheese is not a good source of potassium.

Choice C rationale:

Bananas are known to be a great source of potassium.

Choice D rationale:

Cantaloupes contain potassium, but not as much as bananas.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports chronic pain.Which of the following actions by the nurse uses holistic nursing?

Correct Answer is C

Explanation

A nurse is caring for a client who has a potassium deficiency.Which of the following foods should the nurse recommend as the best source of potassium?

Correct Answer is C

Explanation

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?

A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)

A nurse in the emergency department is collecting data from a client who was admitted following a bee sting.Which of the following findings should the nurse expect in a client who is experiencing anaphylaxis?

A nurse assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock.Which of the following findings should the nurse expect?

A nurse is reviewing the components of medication reconciliation with a newly licensed nurse.Which of the following information should the nurse include in the teaching?

A client who is postoperative is receiving IV fluids and a unit of whole blood. The nurse should observe the client for which of the following as an early sign of circulatory overload?

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 reviewing the arterial blood gas (ABG) results of a client.The client's ABGs are: pH: 7.6. PaCO2: 40 mm Hg. HCO3: 32 mEq/L. Which of the following acid-base conditions should the nurse identify the client is experiencing?