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A nurse is reviewing the arterial blood gas values for a client.
The pH is 7.32, PaCO₂ 48 mm Hg and the HCO₃ is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid-base balances?

Metabolic acidosis.

Metabolic alkalosis.

Respiratory alkalosis.

Respiratory acidosis.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Metabolic acidosis is characterized by a low pH and decreased HCO₃ levels, not increased PaCO₂.

Choice B rationale

Metabolic alkalosis presents with an elevated pH and increased HCO₃ levels, which do not match the given values.

Choice C rationale

Respiratory alkalosis is indicated by a high pH and decreased PaCO₂, opposite of the provided values.

Choice D rationale

Respiratory acidosis is identified by a low pH, elevated PaCO₂, and normal HCO₃, aligning with the provided values.

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Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale:

Obtaining a wound culture is crucial to identify the causative organism and guide appropriate antibiotic therapy. Prompt identification and treatment of the infection source can prevent further systemic complications.

Choice B rationale:

Rapidly administering 30 mL/kg of normal saline helps to restore intravascular volume, improve hemodynamic stability, and enhance tissue perfusion. This intervention is vital in the initial management of sepsis to prevent organ dysfunction.

Choice D rationale:

Obtaining blood cultures before initiating antibiotic therapy is essential to identify the causative microorganism and tailor antibiotic treatment. This step ensures accurate diagnosis and effective management of sepsis.

Choice E rationale:

Administering broad-spectrum antibiotics as soon as possible is critical in managing sepsis. Early and appropriate antibiotic therapy significantly reduces mortality and morbidity by targeting the suspected pathogens promptly.

A. Hypertension. B. Hypoglycemia. C. Altered mental status. D. Elevated WBC count. E. Vomiting.

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

Explanation

Choice A rationale

Hypertension is not a typical manifestation of sepsis; sepsis usually involves hypotension.

Choice B rationale

Hypoglycemia is not a common manifestation of sepsis; hyperglycemia is more typical.

Choice C rationale

Altered mental status can occur due to the systemic inflammation and infection affecting the brain.

Choice D rationale

An elevated WBC count indicates an immune response to infection, which is a common sign of sepsis.

Choice E rationale

Vomiting can occur due to the body's response to the infection and systemic inflammation.

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A nurse is reviewing the arterial blood gas values for a client.The pH is 7.32, PaCO₂ 48 mm Hg and the HCO₃ is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid-base balances?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a 73-year-old male client in the emergency department (ED). Exhibits It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications.

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is assessing a client who has an infection. Which of the following findings is a manifestation of sepsis? (Select all that apply.)

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

Explanation

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A nurse is reviewing the arterial blood gas values for a client.
The pH is 7.32, PaCO₂ 48 mm Hg and the HCO₃ is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid-base balances?