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COMPLETE TEST BANK FOR NURSING: A CONCEPT-BASED APPROACH TO LEARNING VOLUMES I II & III 4TH EDITION PEARSON EDUCATION LATEST UPDATE
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COMPLETE TEST BANK FOR NURSING: A CONCEPT-BASED APPROACH TO LEARNING VOLUMES I II & III 4TH EDITION PEARSON EDUCATION LATEST UPDATE

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  • October 31, 2024
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  • n pearson education
  • a concept based approach
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  • complete test bank for nursing a concept based ap
  • complete test bank for nursing
  • learning volumes i ii iii 4th edition
  • nursing a concept based approac

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  • COMPLETE TEST BANK FOR NURSING: A CONCEPT-BASED APPROACH TO LEARNING VOLUMES I II & III 4TH EDITION PEARSON EDUCATION LATEST UPDATE
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ALL QUESTIONS AND SOLUTIONS
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TESTBANK:NURSINGA b b




CONCEPT-BASED
b




APPROACH TO
b b




LEARNING,VOLUMESI, b




II & III, 3RD b b b b




EDITION, PEARSON b




EDUCATION b




ALL CHAPTERS QUESTIONS AND ANSWERS FOR
b b b b b




REVISION b




WISHINGYOUSUCCESSA+ b b b

,Nursing: A Concept-Based Approach to Learning Vol. 1 2 & 3, 3e (Pearson)
b b b b b b b b b b b b




Module 1 Acid-Base Balance
b b bb b




The Concept of Acid-Base Balance
b b b b




1) A client is brought to the emergency department (ED) after passing out in a local department
b b b b b b b b b b b b b b b


bstore. The client has been fasting and has ketones in the urine. Which acid-base imbalance would
b b b b b b b b b b b b b b b


the nurse expect to assess in this client?
b b b b b b b b


A) Metabolic acidosis b


B) Respiratory alkalosis b


C) Metabolic alkalosis b


D) Respiratory acidosis b


Answer: A
b b


Explanation: A) A client who is fasting is at risk for development of metabolic acidosis. The
b b b b b b b b b b b b b b b


bbody recognizes fasting as starvation and begins to metabolize its own fatty acids into ketones,
b b b b b b b b b b b b b b


which are metabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in
b b b b b b b b b b b b b b b


metabolic alkalosis.
b b


B) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
b b b b b b b b b b b b b b b


fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
b b b b b b b b b b b b b b b


bmetabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in metabolic
b b b b b b b b b b b b b


balkalosis.
C) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
b b b b b b b b b b b b b b b


fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
b b b b b b b b b b b b b b b


bmetabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in metabolic
b b b b b b b b b b b b b


balkalosis.
D) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
b b b b b b b b b b b b b b b


fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
b b b b b b b b b b b b b b b


bmetabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in metabolic
b b b b b b b b b b b b b


balkalosis.
Page Ref: 6 b b


Cognitive Level: Analyzing b b


Client Need/Sub: Physiological Integrity: Physiological Adaptation
b b b b b


Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods
b b b b b b b b b


band processes. | AACN Essential Competencies: IX.3. Implement holistic, patient-centered
b b b b b b b b b


bcarethat reflects an understanding of human growth and development, pathophysiology,
b b b b b b b b b b


bpharmacology, medical management and nursing management across the health-illness
b b b b b b b b


bcontinuum, across lifespan, and in all healthcare settings. | NLN Competencies: Knowledge and
b b b b b b b b b b b b


Science: Relationships between knowledge/science and quality and safe patient care. | Nursing
b b b b b b b b b b b b


bProcess: Assessment b


Learning Outcome: 1.2. Differentiate alterations in acid-base balance.
b b b b b b b


MNL LO: Analyze the concept of acid-base balance and its application to nursing care.
b b b b b b b b b b b b b

,2) Which risk factors exhibited by the client presenting in the emergency department (ED) would
b b b b b b b b b b b b b


place the client at risk for metabolic acidosis? Select all that apply.
b b b b b b b b b b b b


A) Abdominal fistulas b


B) Chronic obstructive pulmonary disease b b b


C) Pneumonia
D) Acute renal failure b b


E) Hypovolemic shock b


Answer: A, D, E
b b b b


Explanation: A) Metabolic acidosis is rarely a primary disorder. It usually develops during the
b b b b b b b b b b b b b


bcourse of another disease; presence of abdominal fistulas, which can cause excess bicarbonate
b b b b b b b b b b b b


bloss; acute renal failure; and hypovolemic shock. Chronic obstructive pulmonary disease and
b b b b b b b b b b b


bpneumonia place the client at risk for respiratory acidosis with the increased retention of carbon
b b b b b b b b b b b b b b


dioxide in the blood.
b b b b


B) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of
b b b b b b b b b b b b b


banother disease; presence of abdominal fistulas, which can cause excess bicarbonate loss; acute
b b b b b b b b b b b b


renal failure; and hypovolemic shock. Chronic obstructive pulmonary disease and pneumonia
b b b b b b b b b b b


bplace the client at risk for respiratory acidosis with the increased retention of carbon dioxide
b b b b b b b b b b b b b b


binthe blood.
b b


C) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of
b b b b b b b b b b b b b


banother disease; presence of abdominal fistulas, which can cause excess bicarbonate loss;
b b b b b b b b b b b


bacuterenal failure; and hypovolemic shock. Chronic obstructive pulmonary disease and
b b b b b b b b b b


bpneumonia place the client at risk for respiratory acidosis with the increased retention of
b b b b b b b b b b b b b


bcarbon dioxide inthe blood.
b b b b


D) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of
b b b b b b b b b b b b b


banother disease; presence of abdominal fistulas, which can cause excess bicarbonate loss; acute
b b b b b b b b b b b b


renal failure; and hypovolemic shock. Chronic obstructive pulmonary disease and pneumonia
b b b b b b b b b b b


bplace the client at risk for respiratory acidosis with the increased retention of carbon dioxide
b b b b b b b b b b b b b b


binthe blood.
b b


E) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of
b b b b b b b b b b b b b


banother disease; presence of abdominal fistulas, which can cause excess bicarbonate loss; acute
b b b b b b b b b b b b


renal failure; and hypovolemic shock. Chronic obstructive pulmonary disease and pneumonia
b b b b b b b b b b b


bplace the client at risk for respiratory acidosis with the increased retention of carbon dioxide
b b b b b b b b b b b b b b


binthe blood.
b b


Page Ref: 6, 14
b b b


Cognitive Level: Applying b b


Client Need/Sub: Physiological Integrity: Physiological Adaptation
b b b b b


Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods
b b b b b b b b b


band processes. | AACN Essential Competencies: IX.3. Implement holistic, patient-centered
b b b b b b b b b


bcarethat reflects an understanding of human growth and development, pathophysiology,
b b b b b b b b b b


bpharmacology, medical management and nursing management across the health-illness
b b b b b b b b


bcontinuum, across lifespan, and in all healthcare settings. | NLN Competencies: Knowledge and
b b b b b b b b b b b b


Science: Relationships between knowledge/science and quality and safe patient care. | Nursing
b b b b b b b b b b b b


bProcess: Assessment b


Learning Outcome: 1.2. Differentiate alterations in acid-base balance.
b b b b b b b


MNL LO: Analyze the concept of acid-base balance and its application to nursing care.
b b b b b b b b b b b b b

, 3) A child with acute asthma has a PaCO2 of 48 mmHg, a pH of 7.31, and a normal HCO3 blood
b b b b b b b b b b b b b b b b b b b


gas value. The nurse interprets these findings as indicative of which condition?
b b b b b b b b b b b b


A) Metabolic acidosis b


B) Respiratory alkalosis b


C) Respiratory acidosis b


D) Metabolic alkalosis b


Answer: C
b b


Explanation: A) If the pH is decreased and the PaCO2 is increased with a normal HCO3, it is
b b b b b b b b b b b b b b b b b


buncompensated respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH,
b b b b b b b b b


bdecreased PaCO2, and normal HCO3. Uncompensated metabolic acidosis has a decreased pH,
b b b b b b b b b b b


bnormal PaCO2, and decreased HCO3. Uncompensated metabolic alkalosis has an increased
b b b b b b b b b b


bpH,normal PaCO2, and increased HCO3.
b b b b b


B) If the pH is decreased and the PaCO2 is increased with a normal HCO3, it is uncompensated
b b b b b b b b b b b b b b b b


respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH, decreased
b b b b b b b b b b


bPaCO2, and normal HCO3. Uncompensated metabolic acidosis has a decreased pH, normal
b b b b b b b b b b b


bPaCO2, and decreased HCO3. Uncompensated metabolic alkalosis has an increased pH,
b b b b b b b b b b


bnormalPaCO2, and increased HCO3.
b b b b


C) If the pH is decreased and the PaCO2 is increased with a normal HCO3, it is uncompensated
b b b b b b b b b b b b b b b b


respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH, decreased
b b b b b b b b b b


bPaCO2, and normal HCO3. Uncompensated metabolic acidosis has a decreased pH, normal
b b b b b b b b b b b


bPaCO2, and decreased HCO3. Uncompensated metabolic alkalosis has an increased pH,
b b b b b b b b b b


bnormalPaCO2, and increased HCO3.
b b b b


D) If the pH is decreased and the PaCO2 is increased with a normal HCO3, it is uncompensated
b b b b b b b b b b b b b b b b


respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH, decreased
b b b b b b b b b b


bPaCO2, and normal HCO3. Uncompensated metabolic acidosis has a decreased pH, normal
b b b b b b b b b b b


bPaCO2, and decreased HCO3. Uncompensated metabolic alkalosis has an increased pH,
b b b b b b b b b b


bnormalPaCO2, and increased HCO3.
b b b b


Page Ref: 24 b b


Cognitive Level: Analyzing b b


Client Need/Sub: Physiological Integrity: Physiological Adaptation
b b b b b


Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods
b b b b b b b b b


band processes. | AACN Essential Competencies: IX.3. Implement holistic, patient-centered
b b b b b b b b b


bcarethat reflects an understanding of human growth and development, pathophysiology,
b b b b b b b b b b


bpharmacology, medical management and nursing management across the health-illness
b b b b b b b b


bcontinuum, across lifespan, and in all healthcare settings. | NLN Competencies: Knowledge and
b b b b b b b b b b b b


Science: Relationships between knowledge/science and quality and safe patient care. | Nursing
b b b b b b b b b b b b


bProcess: Diagnosis b


Learning Outcome: 1.2. Differentiate alterations in acid-base balance.
b b b b b b b


MNL LO: Analyze the concept of acid-base balance and its application to nursing care.
b b b b b b b b b b b b b

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