A nurse is reviewing laboratory results for a client who has metabolic alkalosis. Which of the following blood gas values should the nurse expect?

pH 7.48 (7.35 to 7.45) PaCO 32 mm Hg (35 to 45 mm Hg). HC0 24 mg (22 to 25 mEq/L)

pH 7.36 (7:35 to 7.45) PaCO 38 mm Hg (35 to 45 mm Hg. HCO 25 mEq/L (22 to 26 mEq/L)

pH 7.46 (7.35 to 7.45) PaCO 36 mm Hg (35 to 45 mm Hg)HCO 29 mEq/L (22 to 25 mEq/L)

pH 7.26 (7.35 to 7.45). Paco; 35 mm Hg (35 to 45 min Hg HCD 18 mEq/L (22 to 26 mEq/L)

Answer and Explanation

The Correct Answer is C

A. pH 7.48, PaCO₂ 32 mm Hg, HCO₃ 24 mEq/L: The elevated pH indicates alkalosis, but HCO₃ is within normal limits. This pattern suggests respiratory alkalosis with compensatory changes rather than metabolic alkalosis.

B. pH 7.36, PaCO₂ 38 mm Hg, HCO₃ 25 mEq/L: These values are within normal limits, indicating acid-base balance. They do not reflect metabolic alkalosis and would not explain clinical signs of alkalemia.

C. pH 7.46, PaCO₂ 36 mm Hg, HCO₃ 29 mEq/L: The elevated pH indicates alkalosis, and the increased HCO₃ identifies a metabolic origin. The PaCO₂ is near normal, suggesting minimal respiratory compensation, which is consistent with metabolic alkalosis.

D. pH 7.26, PaCO₂ 35 mm Hg, HCO₃ 18 mEq/L: The low pH and low HCO₃ indicate metabolic acidosis, not alkalosis. These values are inconsistent with the expected findings for metabolic alkalosis.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Droplet precautions: Droplet precautions are used for infections transmitted by large respiratory droplets, such as influenza or pertussis. Herpes simplex is not spread through respiratory droplets, so droplet precautions are not necessary.

B. Protective environment: A protective environment is designed to protect immunocompromised clients from acquiring infections. It is not used for clients who are infectious, such as those with herpes simplex.

C. Contact precautions: Herpes simplex virus is transmitted via direct contact with lesions or infected bodily fluids. Contact precautions, including wearing gloves and gowns and proper hand hygiene, prevent transmission to healthcare workers and other clients.

D. Airborne precautions: Airborne precautions are reserved for infections transmitted via small droplet nuclei, such as tuberculosis or measles. Herpes simplex does not spread through the airborne route, so these precautions are unnecessary.

A. "I do not need to sign a consent form before this procedure." B. "I can have a meal up to 2 hours before the procedure.” C. "I will feel a warming sensation after the injection of the dye." D. "I should limit my fluid intake for 2 days after the procedure."

Correct Answer is C

Explanation

A. "I do not need to sign a consent form before this procedure.": An intravenous pyelogram is an invasive diagnostic procedure that uses contrast dye, so informed consent is required. The client must understand the risks, benefits, and alternatives before the procedure is performed.

B. "I can have a meal up to 2 hours before the procedure.": Clients are typically instructed to remain NPO for several hours before an intravenous pyelogram to reduce the risk of aspiration and improve visualization of the urinary tract. Eating shortly before the procedure is not recommended.

C. "I will feel a warming sensation after the injection of the dye.": A transient feeling of warmth or flushing is a common and expected response after contrast dye administration during an intravenous pyelogram. Recognizing this normal sensation helps reduce anxiety and indicates appropriate understanding of what to expect during the procedure.

D. "I should limit my fluid intake for 2 days after the procedure.": Clients are encouraged to increase fluid intake after the procedure to help flush the contrast dye from the kidneys. Limiting fluids could increase the risk of nephrotoxicity and delay dye excretion.

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

A nurse is reviewing laboratory results for a client who has metabolic alkalosis. Which of the following blood gas values should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has herpes simplex. The nurse should plan to initiate which of the following isolation procedures when caring for this client?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is monitoring a client who has received external radiation for throat cancer. Which of the following findings should the nurse expect?

A nurse is collecting data from a client who has thrombocytopenia. The nurse should identify that which of the following findings increases the client's risk for injury?

A nurse is reinforcing teaching with a client who has a prescription for ferrous sulfate elixir. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is contributing to the plan of care for a client who has partial-thickness and full-thickness burns on their lower extremities. Which of the following interventions should the nurse recommend including in the plan of care?

A nurse is reviewing the plan of care for a group of clients. The nurse should identify that informed consent is required for which of the following procedures?

Complete the following sentence by using the list of options. The nurse should wear an dropdownanddropdown.

A nurse is planning to obtain a 12-lead ECG for a client who has a history of cardiac dysrhythmias. Which of the following actions should the nurse plan to take?