*NURSING > EXAM > Rasmussen College - NUR 2349 PN1 Exam 3 Questions and Answers, 2021 Complete Solutions. (All)

Rasmussen College - NUR 2349 PN1 Exam 3 Questions and Answers, 2021 Complete Solutions.

Document Content and Description Below

Arterial blood gas levels are obtained for the client. If the client’s results are pH 7.48, CO2 42 mm Hg, and HCO3 32 mEq/L, the client is exhibiting which one of the following acid-base imbalance... s? Selected Answer: D. Metabolic alkalosis Correct Answer: D. Metabolic alkalosis Response Feedback: The client’s pH is elevated at 7.48 (normal 7.35 to 7.45), the CO2 is normal at 42 mm Hg (normal 35 to 45 mm Hg), and the bicarbonate is elevated at 32 mEq/L (normal 22 to 26 mEq/L). The client is experiencing metabolic alkalosis. In metabolic acidosis the client’s pH would be below 7.35, and the bicarbonate would be below 22 mEq/L. In respiratory acidosis the client’s pH would be below 7.35, and the CO2 would be elevated above 45 mm Hg. In respiratory alkalosis the client’s pH would be above 7.45, and the CO2 would be below 35 mm Hg.Cognitive Level: analysisNCLEX Blueprint: Physiological Adaptation  Question 2 The nurse would suspect that a client who frequently uses which medication is at risk for developing metabolic alkalosis? Selected Answer: A. Calcium carbonate (Tums) Correct Answer: A. Calcium carbonate (Tums) Response Feedback: Excessive use of oral antacids can lead to metabolic alkalosis. Use of ibuprofen and Tylenol is not associated with the development of metabolic alkalosis. Overdoses of aspirin can be associated with the development of respiratory alkalosis, and eventually can lead to metabolic acidosis. Cognitive Level: ApplicationNCLEX Blueprint: Physiological Adaptation  Question 3 The nurse records a patient’s hourly urine output from an indwelling catheter as follows:0700: 36 mL0800: 45 mL0900: 85 mL1000: 62 mL1100: 50 mL1200: 48 mL1300: 94 mL1400: 78 mL1500: 60 mLThe nurse can conclude that the patient’s urine output should be described as which of the following? Selected Answer: B. Within normal limits Correct Answer: B. Within normal limits Response Feedback: Urine accounts for the greatest amount of fluid loss. Normal urine output for an average-sized adult is approximately 1,500 mL in 24 hr. Urine output varies according to intake and activity but should remain at least 30 to 50 mL per hour. The patient’s urine output is within the normal range. This patient has an indwelling catheter, which will result in continual flow of urine.Cognitive level: analysisNCLEX Blueprint: basic care and comfort  Question 4 A client is admitted with severe diarrhea. Arterial blood gas (ABG) results are pH 7.33; PaCO 2 42; HCO 3 – 20. The nurse concludes this client has which acid–base imbalance? Selected Answer: A. Uncompensated metabolic acidosis Correct Answer: A. Uncompensated metabolic acidosis Response Feedback: The pH and HCO3– are decreased, indicating metabolic acidosis. The PaCO2 is normal, indicating that compensatory mechanisms have not started working. Compensated or uncompensated respiratory acidosis is incorrect because the primary disturbance is metabolic, as indicated by the low bicarbonate level. Compensated metabolic acidosis is incorrect because with compensation, a decrease in PaCO2 to restore balance would be expected. Cognitive Level: AnalyzingNCLEX Blueprint: Physiological Adaptation  Question 5 Identify the appropriate intervention(s) for a patient with hypovolemia. Choose all that apply. B. Monitor I&O daily. C. Encourage fluid intake. D. Monitor electrolyte balance. Correct Answers: B. Monitor I&O daily. C. Encourage fluid intake. D. Monitor electrolyte balance. Response Feedback: Hypovolemia occurs when more fluid is lost than is taken into the body. Monitoring I&O provides information to evaluate the status of the problem. Encouraging fluid intake helps to correct the problem. It is good to monitor electrolytes because electrolyte imbalance can occur with hypovolemia (although it may not occur at first). Deep-breathing techniques do not address fluid balance; there is no evidence that the patient has a respiratory disorder.Cognitive level: ApplicationNCLEX Blueprint: physiological adaptation  Question 6 While caring for a patient preparing for a kidney transplant, the nurse knows that the patient understands teaching on immunosuppression when she states which of the following? Selected Answer: C. "The medications that I take will help prevent my body from attacking my new kidney." Correct Answer: C. "The medications that I take will help prevent my body from attacking my new kidney." Response Feedback: Immunosuppressant therapy is initiated to inhibit optimal immune response. This is necessary in the case of transplantation, because the normal immune response would cause the body to recognize the new tissue as foreign and attack it. The body will identify the new kidney as foreign and will not treat it as the original kidney. While patients with transplants must be careful about exposure to others, especially those who are or might be ill, and practice adequate and consistent infection control techniques, they don't have to avoid people or social interaction. The new kidney brings foreign cells regardless of relationship between donor and recipient.Cognitive Level: ApplicationNCLEX Blueprint: Health promotion and Maintenance  Question 7 The nurse assessed four patients at the beginning of the shift. Which finding should the nurse report most urgently to the physician? Selected Answer: A. Swollen ankles in patient with compensated heart failure Correct Answer: B. Positive Chvostek's sign in patient with acute pancreatitis Response Feedback: Positive Chvostek's sign indicates increased neuromuscular excitability, which can progress to dangerous laryngospasm or seizures and thus needs to be reported first. The other assessment findings are less urgent and need further assessment. Bilateral ankle edema is a sign of ECV excess, and follow-up is needed, but the situation is not immediately life-threatening. Dry mucous membranes in a patient taking a diuretic may be associated with ECV deficit; however, additional assessments of ECV deficit are required before reporting to the physician. Constipation has many causes, including hypercalcemia and opioid analgesics, and it needs action, but not as urgently as a positive Chvostek's sign.Cognitive level: applicationNCLEX Blueprint: reduction of risk potential  Question 8 The nurse is completing a physical assessment with a client. Which of the following findings could be caused by impaired immune function in the client? Selected Answer: C. Leg rash Correct Answer: C. Leg rash Response Feedback: Of the assessment findings provided, leg rash could be caused by impaired immune function in the client. Jugular vein distention, neck pain, and hip pain would most likely have another cause.Cognitive Level: AnalysisNCLEX Blueprint: Physiological Adaptation [Show More]

Last updated: 1 year ago

Preview 1 out of 23 pages

Reviews( 0 )

Recommended For You

 *NURSING> EXAM > NUR 2790 Exam2 PN 3 |NUR 2790 Exam2 PN3 |Questions and Answers, Already Graded A. (All)

preview
NUR 2790 Exam2 PN 3 |NUR 2790 Exam2 PN3 |Questions and Answers, Already Graded A.

NUR 2790 Exam2 PN3 1. A client who is being mechanically ventilated has positive end respiratory pressure (PEEP) set at 20 cm of water. Which of the following should the nurse assess for the client?...

By Expert1 , Uploaded: Jun 12, 2020

$10

 *NURSING> EXAM > NUR 105 WK8 exam Questions and Answers,100% CORRECT (All)

preview
NUR 105 WK8 exam Questions and Answers,100% CORRECT

NUR 105 WK8 exam Questions and Answers 1. Which nursing assessment would cause the RN to collaborate with the health care provider immediately when caring for a client receiving IV infusion of D5...

By securegrades , Uploaded: Oct 09, 2021

$16

 Trauma Nurse Core Course (TNCC)> EXAM > TNCC 8th Edition. Questions and answers, latest 2022/23 (All)

preview
TNCC 8th Edition. Questions and answers, latest 2022/23

What are the greatest risks for transport? - ☑☑Loss of airway patency, displaced obstructive tubes lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deterioratio...

By bundleHub Solution guider , Uploaded: Jul 14, 2022

$10.5

 English Language> EXAM > ALTA exam|78 Questions and Answers,100% CORRECT (All)

preview
ALTA exam|78 Questions and Answers,100% CORRECT

ALTA exam|78 Questions and Answers Rapid letter naming is the key to - Correct Answersautomatic word recognition The Conners' Rating Scales are used to measure— - Correct AnswersAttention Defici...

By Nolan19 , Uploaded: Feb 13, 2023

$12

 *NURSING> EXAM > CRIT 480 Week 2 CC Practice Questions and Answers,100% CORRECT (All)

preview
CRIT 480 Week 2 CC Practice Questions and Answers,100% CORRECT

CRIT 480 Week 2 CC Practice Questions and Answers Week 2 Chapter 28 1. Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Wh...

By Nolan19 , Uploaded: Jan 05, 2022

$15

 *NURSING> EXAM > CRIT 480 Week 3 CC Practice Questions and Answers,100% CORRECT (All)

preview
CRIT 480 Week 3 CC Practice Questions and Answers,100% CORRECT

CRIT 480 Week 3 CC Practice Questions and Answers Week 3 Chapter 32 1. After noting a pulse deficit when assessing a 74-year-old patient who has just arrived in the emergency department, the nurse...

By Nolan19 , Uploaded: Jan 05, 2022

$16

 *NURSING> EXAM > CRIT 480 Week 2 CC Practice Questions and Answers,100% CORRECT (All)

preview
CRIT 480 Week 2 CC Practice Questions and Answers,100% CORRECT

CRIT 480 Week 2 CC Practice Questions and Answers Week 2 Chapter 28 1. Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Wh...

By securegrades , Uploaded: Jan 03, 2022

$15

 *NURSING> EXAM > CRIT 480 Week 3 CC Practice Questions and Answers,100% CORRECT (All)

preview
CRIT 480 Week 3 CC Practice Questions and Answers,100% CORRECT

CRIT 480 Week 3 CC Practice Questions and Answers Week 3 Chapter 32 1. After noting a pulse deficit when assessing a 74-year-old patient who has just arrived in the emergency department, the nurse...

By securegrades , Uploaded: Jan 03, 2022

$15

 *NURSING> EXAM > West Coast EMT Block 4 Exam Questions and Answers, A+ Guide (All)

preview
West Coast EMT Block 4 Exam Questions and Answers, A+ Guide

West Coast EMT Block 4 Exam Questions and Answers, A+ Guide-A 12-year-old male jumped approximately 12 feet from a tree and landed on his feet. He complains of pain to his lower back. What injury mech...

By PROF , Uploaded: Mar 16, 2023

$9.5

 *NURSING> EXAM > NR 507 Week 4 Midterm Questions and Answers,100% CORRECT (All)

preview
NR 507 Week 4 Midterm Questions and Answers,100% CORRECT

NR 507 Week 4 Midterm Questions and Answers The coronary ostia are located in the: (Points : 2) Left ventricle Aortic valve Coronary sinus Aorta Where in the respiratory tract do t...

By securegrades , Uploaded: Oct 27, 2021

$16

$14.50

Add to cart

Instant download

Can't find what you want? Try our AI powered Search

OR

GET ASSIGNMENT HELP
39
0

Document information


Connected school, study & course



About the document


Uploaded On

May 27, 2022

Number of pages

23

Written in

Seller


seller-icon
evekendra

Member since 2 years

8 Documents Sold


Additional information

This document has been written for:

Uploaded

May 27, 2022

Downloads

 0

Views

 39

Document Keyword Tags

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

custom preview

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

custom preview

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

custom preview

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.


$14.50

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·