L), [normal range: 22-26]

Which condition would the nurse analyze these results to indicate?

Metabolic alkalosis

Metabolic acidosis

Respiratory alkalosis

Respiratory acidosis

Answer and Explanation

The Correct Answer is C

A. Metabolic alkalosis is characterized by a high pH and a high HCO3- level; this does not match the provided values.

B. Metabolic acidosis would show a low pH and a low HCO3-, which does not match the findings.

C. The pH is high (7.45) while the Paco2 is low (30 mm Hg), indicating respiratory alkalosis. The low HCO3- could be a compensatory mechanism but does not change the primary interpretation of respiratory alkalosis.

D. Respiratory acidosis would be indicated by a low pH and a high Paco2, which is not the case here.

Free Nursing Test Bank

Take full exam free

View Related questions

A. Auscultate the anatomic area with a stethoscope. B. Use Doppler ultrasonography to locate the pulse. C. Document absence of dorsalis pedis pulse. D. Ask a provider to assess the pulse.

Correct Answer is B

Explanation

A. Auscultating the area may not provide information about the dorsalis pedis pulse, which is a palpated pulse.

B. Using Doppler ultrasonography is the most appropriate next step to locate the dorsalis pedis pulse if it cannot be palpated, as it provides a non-invasive way to detect blood flow.

C. While documenting the absence of the pulse is necessary, it should be done after attempts to locate the pulse have been made.

D. It is not immediately necessary to ask a provider to assess the pulse; the nurse can use Doppler ultrasonography first to gather more information.

A. The diaphragm of the stethoscope is used for low-pitched sounds. B. The binaural should fit snugly in the ears. C. Short tubing provides the listener with the most accurate sounds. D. The bell of the stethoscope is used for high-pitched sounds, such as lung sounds. E. The stethoscope works by blocking out environmental sounds.

Correct Answer is ["B","C","E"]

Explanation

A. The diaphragm of the stethoscope is used for high-pitched sounds, such as lung and normal heart sounds, not low-pitched sounds.

B. The binaural (earpieces) should fit snugly in the ears to ensure proper sound transmission and clarity.

C. Short tubing provides more accurate sounds by minimizing sound distortion, making it ideal for clinical use.

D. The bell of the stethoscope is used for low-pitched sounds, such as heart murmurs, not high-pitched sounds.

E. The stethoscope works by blocking out environmental sounds to help the user focus on internal body sounds.

Free Nursing Test Bank

Correct Answer is B

Explanation

Correct Answer is ["B","C","E"]

Explanation

Quick Links

Resources

Free Nursing Test Bank

The nurse is unable to palpate the dorsalis pedis pulse on an older adult client. What would be most appropriate for the nurse to do next?

Correct Answer is B

Explanation

The nurse is teaching a group of unlicensed assistive personnel about the stethoscope. Which statements about the stethoscope are appropriate for the nurse to include in the teaching session? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

An assistive personnel (AP) reports a client's vital signs as tympanic temperature 37.1° C (98.8° F), pulse 42/min, respiratory rate 14/min, and BP 98/77 mm Hg. Which vital sign should the nurse re-measure?

While performing an abdominal assessment on a patient, the nurse notes an abdomen shape similar to the rounded abdomen only greater. This contour is anticipated in pregnancy and seen in adults with ascites and obesity. What term should the nurse use to document this finding?

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which action should the nurse take to assess cranial nerve II?

A nurse is caring for a client who has a body mass index (BMI) of 26. The nurse should place the client in which BMI category?

The nurse in the clinic is preparing to perform a physical assessment on a client who arrived for a routine check-up. Before beginning the assessment, which four activities should the nurse carry out? (Select all that apply.)

A nurse is preparing a program on osteoporosis for a local women's group. Which of the findings does the nurse recognize as a modifiable risk factor?

How should the nurse interpret the rhythm shown on the electrocardiogram strip shown in the diagram?

A nurse is caring for a postoperative client. The nurse should base the client's pain management interventions primarily on which methods of determining the intensity of the client's pain?

Quick Links

Resources