L). [Normal HCO3 is 22-26]

The nurse interprets that the client has which acid-base disturbance?

Respiratory acidosis

Respiratory alkalosis

Metabolic acidosis

Metabolic alkalosis

Answer and Explanation

The Correct Answer is A

A. Respiratory acidosis: The pH is low (indicating acidosis), and the Paco₂ is elevated, which signifies that carbon dioxide retention is causing the acidosis. This pattern indicates respiratory acidosis, as the elevated HCO₃ suggests a compensatory response.

B. Respiratory alkalosis: Respiratory alkalosis would show a high pH with a low Paco₂. This is not consistent with the client’s lab results.

C. Metabolic acidosis: Metabolic acidosis would show a low pH with a low HCO₃. In this case, the HCO₃ is slightly elevated, ruling out metabolic acidosis.

D. Metabolic alkalosis: Metabolic alkalosis would show a high pH with an elevated HCO₃, which does not match the client’s results.

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A. Obese B. Underweight C. Overweight D. Healthy weight

Correct Answer is C

Explanation

A. A BMI of 26 is not classified as obese; obesity typically starts at a BMI of 30.

B. Underweight is defined as a BMI less than 18.5, which does not apply to this client.

C. A BMI of 26 falls within the overweight category, which is defined as a BMI between 25 and 29.9.

D. A healthy weight is classified as a BMI between 18.5 and 24.9, which does not include a BMI of 26.

A. The client has complete bilateral paralysis of the arms and legs. B. The client has lost the ability to move the right arm but is able to walk independently. C. The client has lost the ability to move the right arm but is able to walk independently. D. The client has weakness on the right side of the face and tongue. E. The client has lost the ability to ambulate independently but is able to feed and bathe herself or himself without assistance. F. The client has weakness on the right side of the body.

Correct Answer is ["D","F"]

Explanation

A. This statement indicates complete paralysis of both sides, which does not apply to hemiparesis, where one side is affected.

B. While this could describe some patients, it does not accurately represent "complete" right-sided hemiparesis.

C. This option is a repeat and also does not accurately reflect complete right-sided hemiparesis.

D. Weakness on the right side of the face and tongue is consistent with right-sided hemiparesis, as the stroke may affect motor control in those areas.

E. This describes a client who is less severely affected and may not apply to someone with complete right-sided hemiparesis.

F. Weakness on the right side of the body is a direct characteristic of right-sided hemiparesis.

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Correct Answer is C

Explanation

Correct Answer is ["D","F"]

Explanation

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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?

Correct Answer is C

Explanation

The nurse is assigned to care for a client with complete right-sided hemiparesis [weakness] from a stroke (brain attack). admitting diagnosis cerebrovascular attack Right-sided hemiparesis Which characteristics are associated with this condition? Select 2 that apply.

Correct Answer is ["D","F"]

Explanation

Which disorder is depicted in the image below?

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A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process?

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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.)

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

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