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.

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Correct Answer is C

Explanation

A. This is a good method to gather feedback but does not directly assess the client's ability to perform the taught skills.
B. This is important to identify knowledge gaps but does not assess the client's ability to perform the skills.
C. This is the most direct way to assess the client's ability to perform the taught skill and ensures that the client has retained the information.
D. While important, vital signs do not directly assess the effectiveness of home care teaching.

A. Monitoring the patient's vital signs B. Assessing the patient's pain level C. Inspecting the surgical incision site for redness, swelling D. Assessing the patient's fluid intake and output

Correct Answer is C

Explanation

A. While important for overall patient assessment, it's not the most direct way to monitor for a wound infection.
B. Pain can indicate a wound infection, but it's not as specific as directly inspecting the wound.
C. This is the most direct way to assess for early signs of a wound infection. Redness, swelling, warmth, and drainage are classic signs of infection.
D. Important for overall patient care, but not specifically related to wound infection prevention.

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

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Naxlex Comprehensive Predictor Exams

Which of the following is an appropriate evaluation method to assess the effectiveness of home care teaching after a client has surgery?

Correct Answer is C

Explanation

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?

Correct Answer is C

Explanation

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