The nurse is caring for a diabetic patient in renal failure who is in metabolic acidosis. Which laboratory findings are consistent with metabolic acidosis?

pH 7.35, PaCO2 40 mm Hg, HCO3-25 mEq/L

pH 7.32, PaCO2 47 mm Hg. HCO3-23 mEq/L

pH 7.3, PaCO2 36 mm Hg. HCO3- 19 mEq/L

pH 7.5, PaCO2 35 mm Hg, HCO3- 35 mEq/L

Answer and Explanation

The Correct Answer is C

A.   pH 7.35, PaCO2 40 mm Hg, HCO3-25 mEq/L: This is within normal ranges and does not indicate acidosis.
B.   pH 7.32, PaCO2 47 mm Hg. HCO3-23 mEq/L: This indicates respiratory acidosis, not metabolic.
C.   pH 7.3, PaCO2 36 mm Hg. HCO3- 19 mEq/L: This indicates metabolic acidosis. The pH is low (acidic), and the HCO3- (bicarbonate) is decreased. The PaCO2 is within normal limits, indicating the respiratory system is compensating for the metabolic acidosis.
D.   pH 7.5, PaCO2 35 mm Hg, HCO3- 35 mEq/L: This indicates alkalosis, not acidosis.

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 A

Explanation

A. Slow and steady bubbling in the suction control chamber is expected and indicates that the system is functioning properly. It is designed to regulate the pressure within the chest cavity by allowing excess air and fluid to escape, ensuring that the lungs can re-expand properly
B. Checking for leaks is are unnecessary as the system is functioning as expected.
C. Checking the suction control outlet is are unnecessary as the system is functioning as expected.
D. Clamping the chest tube is are unnecessary as the system is functioning as expected.

A. “Hyperventilation will open up my alveoli, preventing atelectasis." B. “It is important for me to do breathing exercises every hour to prevent atelectasis." C. "Atelectasis affects only those with chronic conditions such as emphysema. I do not have emphysema therefore I will not get this condition." D. “If develop atelectasis, I will need a chest tube to drain excess fluid."

Correct Answer is B

Explanation

A. Hyperventilation can lead to dizziness and lightheadedness, and it's not a recommended method for preventing atelectasis.
B. This statement indicates understanding of the importance of deep breathing exercises in preventing atelectasis.
C. This statement shows a misunderstanding of atelectasis. Anyone can develop atelectasis, especially after surgery.
D. This statement is incorrect, but it focuses on treatment rather than prevention.

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

The nurse is caring for a diabetic patient in renal failure who is in metabolic acidosis. Which laboratory findings are consistent with metabolic acidosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse teaches a post-operative patient about preventing atelectasis. Which statement by the patient indicates an understanding?

Correct Answer is B

Explanation

Which blood gas result will the nurse expect to observe in a patient with respiratory alkalosis?

A nurse is preparing to obtain a sputum specimen for a client. Which of the following actions should the nurse plan to take?

Which of the following is a risk factor for developing thromboembolism in the post surgical setting?

A post-operative patient is at risk for developing a wound infection. Which of the following nursing assessments is the highest priority to prevent this complication?

A nurse is caring for a client with a tracheostomy. The client's partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client's discharge?

A nurse is teaching a class about oxygen transport in the cardiopulmonary system. Which of the following transports oxygen in the blood?

A nurse is caring for a client who has respiratory alkalosis and is hyperventilating. Which of the following actions should the nurse take?

During new employee orientation, a nurse is explaining how to prevent IV infections. Which of the following statements by an orientee indicates understanding of the preventive strategies?