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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale:

Low blood pressure (BP) is a symptom of hypovolemic shock due to decreased blood volume, but the pulse rate typically increases as the body tries to compensate for the low BP, not decrease.

Choice B rationale:

Hypovolemic shock is characterized by low BP due to loss of blood or fluid volume and a high pulse rate as the body tries to compensate for the decreased blood flow.

Choice C rationale:

High BP is not typically associated with hypovolemic shock. Instead, BP is usually low due to decreased blood volume.

Choice D rationale:

High BP is not typically a symptom of hypovolemic shock. While the pulse rate may be high as the body tries to compensate for low blood volume, the BP is usually low.

A. Urine specific gravity 1.020. B. Urine output 15 mL/hr. C. Hct 43%. D. BUN 12 mg/dL.

Correct Answer is B

Explanation

Choice A rationale:

Urine specific gravity 1.020 is within the normal range (1.005-1.030), so it does not indicate fluid volume deficit.

Choice B rationale:

Urine output 15 mL/hr is less than the normal minimum of 30 mL/hr, indicating fluid volume deficit.

Choice C rationale:

Hct 43% is within the normal range (38.8-50.0 for men, 34.9-44.5 for women), so it does not indicate fluid volume deficit.

Choice D rationale:

BUN 12 mg/dL is within the normal range (7-20 mg/dL), so it does not indicate fluid volume deficit.

View Question and Answer

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is measuring the vital signs of a client he suspects has hypovolemic shock.Which of the following findings should the nurse expect?

Correct Answer is B

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?

Correct Answer is B

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.)

A nurse is reviewing the medical record of a client who has metabolic acidosis.The nurse should realize that which of the following findings contributes to the development of metabolic acidosis?

A nurse is caring for a client who is conscious and has an airway obstruction.Which of the following actions should the nurse take?

A nurse is preparing to administer timolol ophthalmic drops to a client who has glaucoma.Which of the following actions should the nurse plan to take?

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 nurse is reinforcing teaching with a group of assistive personnel (AP) about infection control measures on the unit.The nurse should remind the APs that which of the following is the most effective way to prevent the spread of pathogens during client care?

A nurse is dining at a restaurant when a woman calls for help because her partner is choking.Which of the following actions should the nurse take first?

A nurse is caring for a client who becomes unresponsive.While administering CPR, which of the following actions should the nurse take?