A nurse is reviewing the ABG values of a client who has chronic bronchitis and reports dyspnea with minimal exertion. Which of the following acid- base imbalances should the nurse suspect?

Metabolic acidosis

Respiratory alkalosis

Respiratory acidosis

Metabolic alkalosis

Answer and Explanation

The Correct Answer is C

Answer: C. Respiratory acidosis

Rationale:

A) Metabolic acidosis: This occurs when there is an excess of acid in the body or a loss of bicarbonate, often due to conditions such as renal failure or severe diarrhea. In chronic bronchitis, the primary issue is related to respiratory function rather than metabolic disturbances.

B) Respiratory alkalosis: This condition results from hyperventilation, leading to excessive loss of carbon dioxide. It is unlikely in a client with chronic bronchitis, who typically experiences difficulty in exhaling fully rather than hyperventilating.

C) Respiratory acidosis: In chronic bronchitis, airflow obstruction and reduced gas exchange can lead to carbon dioxide retention, resulting in respiratory acidosis. Symptoms like dyspnea and increased work of breathing support this imbalance, as the body is unable to adequately expel carbon dioxide.

D) Metabolic alkalosis: This imbalance results from excessive bicarbonate or loss of hydrogen ions, often related to prolonged vomiting or diuretics. It is not characteristic of chronic bronchitis, where the primary concern is respiratory function rather than metabolic processes.

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Correct Answer is B

Explanation

A. Increase in postoperative pain: Preoperative teaching typically includes information about pain management strategies, which should help to reduce, not increase, postoperative pain.

B. Reduced postoperative anxiety: This is correct. One of the key benefits of preoperative education is reduced anxiety. By understanding what to expect before, during, and after surgery, patients are often less anxious about the procedure.

C. Reduced postoperative respiratory function: Preoperative teaching usually includes instructions on deep breathing and coughing exercises to help prevent respiratory complications after surgery. Therefore, it should improve, not reduce, postoperative respiratory function.

D. Increased length of postoperative care in the health care facility: Preoperative education has been shown to reduce the length of hospital stay. By better understanding their surgery and postoperative care, patients are often able to recover more quickly and leave the hospital sooner

A. "Quantitative research aims to understand the feelings associated with a particular event." B. "Qualitative research studies how to implement EBP into various settings" C. "Quantitative research analyzes collected data using statistical methods." D. "Qualitative research uses larger sample sizes than quantitative research"

Correct Answer is C

Explanation

Quantitative research involves the collection and analysis of numerical data to answer research questions and test hypotheses. Statistical methods are used to analyze the data and draw conclusions about relationships, differences, or effects.

A. "Quantitative research aims to understand the feelings associated with a particular event":

This statement is incorrect. Quantitative research focuses on measurable data and is concerned with objective observations rather than subjective feelings or experiences.

B. "Qualitative research studies how to implement EBP into various settings":

This statement is incorrect. Qualitative research explores subjective experiences, perceptions, and meanings to gain a deeper understanding of phenomena. It is not specifically focused on implementing evidence-based practice (EBP) into various settings.

D. "Qualitative research uses larger sample sizes than quantitative research":

This statement is incorrect. Qualitative research typically involves smaller sample sizes compared to quantitative research. The emphasis in qualitative research is on depth and richness of data rather than statistical generalizability.

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A nurse is reviewing the ABG values of a client who has chronic bronchitis and reports dyspnea with minimal exertion. Which of the following acid- base imbalances should the nurse suspect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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