Nokea
Medical records indicate a patient has developed a condition of respiratory alkalosis. Which of the following clinical signs would not apply to a condition of respiratory alkalosis?
- A. Muscle tetany
- B. Syncope
- C. Numbness
- D. Anxiety
Correct Answer: D
Rationale: Anxiety is a clinical sign associated with respiratory acidosis.
You may also like to solve these questions
The nurse is caring for a neonate with an infection. The nurse would be MOST concerned if which of the following was observed?
- A. Heart rate of 150 bpm.
- B. Axillary temperature of 96°F (35.5°C).
- C. Weight increase of 4 oz.
- D. Respiratory rate of 65 at rest.
Correct Answer: D
Rationale: A respiratory rate of 65 at rest (normal 30–50) indicates tachypnea, suggesting sepsis or hypoxia. Options A, B, and C are less concerning.
The nurse is teaching a client with a new diagnosis of depression about fluoxetine (Prozac). Which of the following instructions should the nurse include?
- A. Take the medication at bedtime.
- B. Report any suicidal thoughts.
- C. Stop the medication if mood improves.
- D. Avoid regular mental health follow-ups.
Correct Answer: B
Rationale: Suicidal thoughts are a serious fluoxetine side effect, requiring immediate reporting. Options A, C, and D are incorrect.
A 14-year-old is going home with a permanent tracheostomy. Which comment by the child's mother indicates to the nurse that the parent needs more instruction?
- A. I need to ask the doctor how many times a day I can suction my child.'
- B. I will suction if my child cannot effectively cough up sputum.'
- C. I know my child will not need the same amount of suctioning every day.'
- D. I know I should only suction my child if it is really necessary.'
Correct Answer: A
Rationale: Asking for a fixed suctioning schedule suggests misunderstanding, as suctioning is PRN based on need, indicating a need for further instruction.
The primary purpose for using a CPM machine for the client with a total knee repair is to help:
- A. Prevent contractures.
- B. Promote flexion of the artificial joint.
- C. Decrease the pain associated with early ambulation.
- D. Alleviate lactic acid production in the leg muscles.
Correct Answer: A
Rationale: A CPM machine prevents contractures by maintaining joint mobility post-knee repair. It aids flexion but primarily prevents stiffness. Pain and lactic acid are secondary concerns.
An adult is admitted to the emergency room with a laceration on the forearm and BP=140/74, P=110, and R=36. The client also.adult is admitted to the emergency room with a laceration on the forearm and BP=140/74, P=110, and R=36. The client also complains of tingling around the mouth and in the fingers and toes. What should the nurse expect to do initially?
- A. Administer oxygen
- B. Have the client breathe into a paper bag
- C. Call the physician immediately
- D. Encourage the client to do deep breathing exercises
Correct Answer: B
Rationale: Tachypnea and tingling suggest hyperventilation causing respiratory alkalosis; breathing into a paper bag restores CO2 levels, correcting pH.