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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. Take pain-relief medication such as acetaminophen to relieve discomfort associated with ascites. B. Ensure that you eat three large meals per day to keep your calories up. C. Avoid high-sodium foods such as canned soups, vegetables, processed meats, and prepackaged frozen dinners. D. Increase your activity as much as possible.

Correct Answer is C

Explanation

Choice A rationale

Acetaminophen can be hepatotoxic in clients with liver damage, so it should be avoided. This is especially critical for clients with cirrhosis, where liver function is already compromised.

Choice B rationale

Eating three large meals can be overwhelming for someone with cirrhosis, as the liver is less able to process nutrients efficiently. Smaller, more frequent meals are advised.

Choice C rationale

Avoiding high-sodium foods is crucial because cirrhosis often leads to fluid retention and ascites, which can be exacerbated by a high-sodium diet.

Choice D rationale

Increasing activity as much as possible may not be safe for someone with cirrhosis, who often experiences fatigue and muscle wasting. Activity should be balanced with rest and tolerance levels.

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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 preparing discharge instructions for a client who has cirrhosis of the liver.Which of the following statements should be included in the education materials?

Correct Answer is C

Explanation

A nurse is assessing a client who has suspected acute respiratory distress syndrome (ARDS). The nurse should identify which of the following is the most common presenting manifestation of ARDS?

A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus.Which of the following should the nurse include in the teaching?

A nurse is caring for a client who has acute pancreatitis.After treating the client's pain, which of the following should the nurse address as the priority intervention?

A nurse is planning care for a client who has cirrhosis of the liver.Which of the following actions should the nurse include in the plan? (Select all that apply.)

A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down.Antacids do not help.The provider suspects acute pancreatitis.Which of the following laboratory test results should the nurse expect to see?

A nurse is providing education to a client who is suspected of having type 1 diabetes mellitus.Which of the following statements would the nurse include in client education?

A nurse is planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following interventions should the nurse include in the plan?

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?