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NUR 3480- Med Surge- Exam 5 ATI Questions And Answers
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NUR 3480- Med Surge- Exam 5 ATIQuestions And Answers
A nurse is assessing a client who has acute alcohol intoxication. The
nurse should identify that the client is at risk for which of the
following acid-base imbalances?
A) Respiratory Acidosis
B) Respiratory Alkalosis
C) Metabolic Acidosis
D) Metabolic Alkalosis - - correct answer ✅C) Metabolic Acidosis
Rationale: Common Causes of metabolic acidosis include alcohol or
ethanol intoxication, diabetic ketoacidosis, hypoxia, kidney failure,
diarrhea, and pancraetitis
A nurse is caring for a client whose ABG results are pH 7.30, PaCO2
32mmHg, and HCo3-19 mEq/L. The nurse should identify that the
client has which of the following acid-base imbalances.
A) Respiratory Acidosis
B) Respiratory Alkalosis
C) Metabolic Acidosis
D) Metabolic Alkalosis - - correct answer ✅C) Metabolic Acidosis
,NUR 3480- Med Surge- Exam 5 ATI
Questions And Answers
Rationale: With metabolic acidosis, the pH is low, the PaCO2 is low
or within the expected reference range, and the bicarbonate is low.
A nurse is caring for a client who has respiratory acidosis. Which of
the following medications should the nurse prepare to administer?
A) Antiemetic
B) Hypoglycemic
C) Antidiarrheal
D) Bronchodilator - - correct answer ✅D) Bronchodilator
Rationale: Clients who have respiratory acidosis require
interventions that improve oxygenation and ventilation and help
maintain airway patency. The nurse should prepare to administer
oxygen, a bronchodilator, and possibly a mucolytic and an anti-
inflammatory medication.
A nurse is caring for a client who has a fever and is hyperventilating.
His ABG results are pH 7.51, PaCO2 28 mm Hg, and HCO3 24 mEq/L.
The nurse should identify that the client has which of the following
acid-base imbalances?
,NUR 3480- Med Surge- Exam 5 ATI
Questions And Answers
A) Respiratory Acidosis
B) Respiratory Alkalosis
C) Metabolic Acidosis
D) Metabloc Alkalosis - - correct answer ✅B) Respiratory Alkalosis
Rationale: Because the client is breathing rapidly, he is exhaling
excessive amount of carbon dioxide. This loss of carbon dioxide
decreases the hydrogen ion level of the blood, causing the pH to
increase and the resulting in respiratory alkalosis
A nurse is caring for a client who has a metabolic alkalosis. As the
client compensates for this acid-base imbalance, which of the
following mechanisms should the nurse expect the client's body to
use?
A) Hypoventilation
B) Hyperventilation
C) Increased real acid exretion
D) Decreased renal acid excretion - - correct answer ✅A)
Hypoventilation
, NUR 3480- Med Surge- Exam 5 ATI
Questions And Answers
Rationale: Hypoventilation is the mechanism that helps clients
compensate for metabolic alkalosis. As a result, the client's PaCO2
and HCO3 will increase.
A circulating nurse is monitoring the temperature in a surgical suite.
The nurse should identify that the cool temperature reduce a
client's risk for which of the following potential complications of
surgery?
A) Malignant hyperthermia
B) Blood clots
C) Infection
D) Hypoxia - - correct answer ✅C) Infection
Rationale: The nurse should identify that a cool room temperature
with humidity between 30% to 60% along with a proper air
exchange and filtering system, reduces the risk of infection for
clients during surgery
A nurse is assessing a client who is postoperative. Which of the
following findings should the nurse report to the provider?
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