A patient's blood gases show a pH of 7.53, PCO2 of 48, and HCO3 of 36 mEq/L. The nurse realizes that the acid-base disorder this patient is demonstrating is which of the following?

Respiratory Acidosis

Respiratory Alkalosis

Metabolic Alkalosis

Metabolic Acidosis

Answer and Explanation

The Correct Answer is C

Choice A reason: Respiratory Acidosis is characterized by a low pH and a high PCO2, which is not the case here.

Choice B reason: Respiratory Alkalosis would involve a high pH and a low PCO2, which is not consistent with the patient's PCO2 level.

Choice C reason: Metabolic Alkalosis is indicated by a high pH and a high HCO3, which matches the patient's blood gas values.

Choice D reason: Metabolic Acidosis would show a low pH and a low HCO3, which is the opposite of this patient's presentation.

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Correct Answer is B

Explanation

Choice A reason : Maintenance chemotherapy is not typically used to maintain remission in Hodgkin's lymphoma after successful treatment.

Choice B reason : Follow-up appointments are crucial for monitoring any signs of recurrence or secondary malignancies, as well as managing long-term eﬀects of treatment.

Choice C reason : The potential impact of chemotherapy on fertility is an important topic, especially for younger patients, but may not be as relevant for a 55-year-old woman.

Choice D reason : Addressing symptoms like pruritus, which can persist after treatment, is important for patient comfort and quality of life.

A. RBC Count of 4,500,000/mL. B. Normal red blood cell (RBC) indices. C. Hemoglobin of 8.2 g/dL (82 g/L). D. Hematocrit (Hct) 38%.

Correct Answer is C

Explanation

Choice A reason: An RBC count of 4,500,000/mL is within the normal range and would not typically cause symptoms of anemia.

Choice B reason: Normal RBC indices do not indicate anemia and would not explain the symptoms.

Choice C reason: A hemoglobin level of 8.2 g/dL is below the normal range and would be consistent with symptoms of anemia such as fatigue and palpitations.

Choice D reason: A hematocrit of 38% is within the normal range for adult males and would not typically be associated with anemia symptoms.

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A patient's blood gases show a pH of 7.53, PCO2 of 48, and HCO3 of 36 mEq/L. The nurse realizes that the acid-base disorder this patient is demonstrating is which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Following successful treatment of Hodgkin's lymphoma for a 55-year-old woman, which topic will the nurse include in patient teaching?

Correct Answer is B

Explanation

An adult male with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. Which laboratory data would the nurse identify as consistent with these symptoms?

Correct Answer is C

Explanation

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