The nurse is evaluating the ABG results for a patient who is suspected of having an acid-base
imbalance. The ABG analysis indicates a decreased pH, an increased PaCO2, and a normal
HCO3-. Which conclusion by the nurse is accurate? - ️️Respiratory acidosis
A patient with COPD is experiencing ...
NSG 320 Exam 1-Questions with Correct Answers/ Verified/ Latest Update
2024/2025
The nurse is evaluating the ABG results for a patient who is suspected of having an acid-base
imbalance. The ABG analysis indicates a decreased pH, an increased PaCO2, and a normal
HCO3-. Which conclusion by the nurse is accurate? - ✔️✔️Respiratory acidosis
A patient with COPD is experiencing shortness of breath and a cough. He asks the nurse
what is the best way to prevent exacerbations. She should recommend which of the
following: (select all that apply) - ✔️✔️Effective handwashing
Preventative vaccinations
Explanation:
Handwashing and vaccinations will reduce the risk for secondary infections which will in
turn reduce the risk of exacerbations
A patient presents with muscle twitching and tetany. Ten minutes after hospital admission,
the patient experiences a seizure. Which acid-base imbalance should the nurse suspect? -
✔️✔️Metabolic alkalosis
Explanation:
Clinical manifestations associated with metabolic alkalosis include muscle twitching and
tetany that may progress to seizure.
The nurse is educating a patient with type 1 diabetes about disease self-management.
Which statement indicates the patient understands the instructions given? - ✔️✔️"I will
record my blood glucose levels in a log book and bring these to my appointments."
Explanation:
The patient should record blood glucose levels in a log book and bring this to all
appointments with the health care provider.
Which assessment finding causes the nurse to suspect that a patient is experiencing
metabolic acidosis? - ✔️✔️Kussmaul respirations
, Explanation:
Dyspnea is an assessment finding that would cause the nurse to suspect respiratory, not
metabolic, acidosis. Kussmaul respirations are frequent, deep breaths that constitute a
compensatory mechanism in an effort to breathe out more carbon dioxide. This is an
assessment finding that would cause the nurse to suspect that the patient is experiencing
metabolic acidosis. Polyuria and muscle twitching are both is an assessment findings that
would cause the nurse to suspect metabolic alkalosis, not acidosis.
Which interventions should the nurse perform for a patient with diabetes who appears
confused and responds to questions with irritation? (select all that apply) - ✔️✔️Give the
patient a snack
Check the patient's blood glucose level
Explanation:
The patient is exhibiting signs of
hypoglycemia, and the nurse should check the patient's blood glucose level to confirm this
along with providing the patient with a snack.
A family member asks the nurse how a patient develops pneumonia. What is the best
response by the nurse? - ✔️✔️Pneumonia develops when bacteria invades the lower
airways
A 22-year-old patient with cystic fibrosis is receiving a pneumonia vaccine. The patient asks
the nurse why it is necessary to have the vaccine at such a young age. What is the best
response by the nurse? - ✔️✔️Because of your health history, you should receive the
vaccine even though you are not 65 years old.
Explanation:
Cystic fibrosis is a chronic illness affecting the lungs. Patients with chronic illnesses should
receive the vaccine, even if they are younger than 65 years.
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