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NURS 5315 FINAL EXAM LATEST 2024 QUESTIONS & ANSWERS WITH RATIONALE $14.99   Add to cart

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NURS 5315 FINAL EXAM LATEST 2024 QUESTIONS & ANSWERS WITH RATIONALE

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NURS 5315 FINAL EXAM LATEST 2024 QUESTIONS & ANSWERS WITH RATIONALE

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  • March 11, 2024
  • 54
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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NURS 5315 FINAL EXAM LATEST 2024
QUESTIONS & ANSWERS WITH
RATIONALE



• A client in respiratory distress and is breathing 33

breaths per minute. Which ABG value is consistent with

the clinical scenario?

• PCO2 15

• pH 7.30

• pH 7.45

O2 sat 100%: A client who is breathing 33 breaths per minute is

hyperventilating and blowing off CO2; therefore the PCO2 level

will be low. The client will most likely experience a respiratory

,alkalosis and the two pH values provided are not consistent with

this diagnosis.

• A client has a sodium level of 115 mEq/L and is

disoriented and lethargic.

Which pathological process best explains this client's

symptoms?

a. The action potential has become hyperpolarized.

• Water has shifted into the neurons and caused them to

swell.

• Water has shifted into the vascular space and dehydrated

the neurons.

• The action potential has become hypopolarized.: b. The

cause of neurologic symptoms associated with a sodium

imbalance is directly related to fluid shifting into or out of the

, neurons of the brain. With a serum sodium of 115 mEq/L, water

shifts into the neurons and causes them to swell.

Hypernatremia causes water to shift out of the cell into the

intravascular space and causes the neurons to become

dehydrated. An alteration in the action potential is not seen with

sodium imbalances.

• 3. A client experiencing dehydration should be monitored

for which electrolyte imbalance?

• a. Hyperkalemia

• Hypocalcemia

• Hypercalcemia

• Hyponatermia: a. Serum osmolality is increased during times

of dehydration. An elevated serum osmolality will pull

, potassium into the intravascular space from the intracellular

space and cause a rise in serum potassium.

4. A married couple presents to your office for genetic

counseling. The husband has an autosomal recessive

disease and his wife has a heterozygous genotype for the

disease. They ask you, What is the chance that our baby will

have the disease? Which of the following answers is correct?

25%

50%

75%

100%: A chromosome is a package of material located inside the

cell nucleus which is made of proteins and a single molecule of

DNA. There are 23 pairs of chromosomes in each human cell for

a total of 46 chromosomes. Chromosomes are separated into two

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