The nurse is concerned about the risks of hypoxemia and metabolic acidosis in a client who is in shock. What finding should the nurse analyze for evidence of hypoxemia and metabolic acidosis in a client with shock?
arterial blood gas (ABG) findings
oxygen saturation level
white blood cell differential
red blood cells (RBCs) and hemoglobin count findings
The Correct Answer is A
Choice A rationale: Arterial blood gas (ABG) findings provide direct information about oxygenation and acid-base balance in the blood, which can indicate hypoxemia and metabolic acidosis.
Choice B rationale: Oxygen saturation level provides information about oxygen saturation in the blood but doesn't give a complete assessment of acid-base balance or other gases in the blood.
Choice C rationale: White blood cell differential assesses different types of white blood cells and is not directly related to evaluating hypoxemia or metabolic acidosis.
Choice D rationale: Red blood cells (RBCs) and hemoglobin count findings are important but do not directly assess hypoxemia or metabolic acidosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
Choice A rationale: Small bowel obstructions typically present with diffuse, crampy abdominal pain rather than localized pain in the right lower quadrant.
Choice B rationale: While fever can be present in some cases, it's not a consistent finding with small bowel obstruction unless there's perforation.
Choice C rationale: Common symptoms of small bowel obstruction due to the buildup of contents proximal to the obstruction.
Choice D rationale: A key feature of small bowel obstruction due to the blockage preventing normal bowel movements.
Choice E rationale: Accumulation of gas and fluid above the obstruction causes abdominal distention.
Correct Answer is D
Explanation
Choice A rationale: Phenelzine is an antidepressant that typically does not affect blood glucose levels significantly.
Choice B rationale: Allopurinol, used for gout, is not known to significantly impact blood glucose levels.
Choice C rationale: Metoprolol, a beta-blocker, might mask some symptoms of hypoglycemia but is not typically associated with causing hyperglycemia.
Choice D rationale: Methylprednisolone, a corticosteroid, can elevate blood glucose levels and might contribute to hyperglycemia in a person with diabetes mellitus.
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