Nokea
A nurse is reviewing the arterial blood gas (ABG) values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?
- A. pH 7.25, HCO3- 19 mEq/L, PaCO2 30 mm Hg
- B. pH 7.50, HCO3- 20 mEq/L, PaCO2 32 mm Hg
- C. pH 7.55, HCO3- 30 mEq/L, PaCO2 31 mm Hg
- D. pH 7.30, HCO3- 26 mEq/L, PaCO2 50 mm Hg
Correct Answer: A
Rationale: The values indicate metabolic acidosis with compensatory respiratory alkalosis, typical in CKD due to impaired acid excretion.
You may also like to solve these questions
A student nurse is reviewing clinical manifestations of chronic kidney disease. Which of the following findings are consistent with this diagnosis? (Select all that apply)
- A. Hypokalemia
- B. Anemia
- C. Hypertension
- D. Crackles in the lungs
- E. Lethargy
- F. Proteinuria
Correct Answer: B,C,E,F
Rationale: These reflect common CKD complications including erythropoietin deficiency, fluid overload, uremia, and glomerular damage.
A nurse is obtaining a health history for a client with chronic pancreatitis. Which of the following indicates the primary cause of the client's condition?
- A. Weight gain
- B. Use of alcohol
- C. Abdominal pain relieved with food or antacids
- D. Exposure to occupational chemicals
Correct Answer: B
Rationale: The use of alcohol is the most common cause of chronic pancreatitis, accounting for about 70% of cases.
A nurse is assessing a client who has sustained a traumatic brain injury. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure?
- A. Tachypnea
- B. Hypotension
- C. Decreased level of consciousness
- D. Bilateral weakness of extremities
Correct Answer: C
Rationale: Decreased LOC is the earliest and most sensitive sign of increased ICP.
A nurse admits a client to the emergency department who reports nausea, vomiting, and epigastric pain that worsens when lying down. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?
- A. Increased serum amylase
- B. Decreased WBC count
- C. Increased serum calcium
- D. Decreased serum lipase
Correct Answer: A
Rationale: Serum amylase rises quickly in acute pancreatitis due to pancreatic inflammation.
A nurse is caring for a client who has a chest tube. Which of the following actions should the nurse take?
- A. Tape the connections on the client's chest tube.
- B. Position the client in a supine position.
- C. Strip the client's chest tube every 2 hours.
- D. Place the chest tube drainage system above the level of the client's heart.
Correct Answer: A
Rationale: Taping connections maintains a closed system and prevents air leaks that could cause pneumothorax.