Timothy’s arterial blood gas (ABG) results are as follows; pH 7.16; Paco2 80 mm Hg; Pao2 46 mm Hg; HCO3- 24 mEq/L; Sao2 81%. This ABG result represents which of the following conditions? A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory acidosis D. Respiratory alkalosis Correct Answer:… Read More »
Mr. Marquez with rheumatoid arthritis is about to begin aspirin therapy to reduce inflammation. When teaching the client about aspirin, the nurse discusses adverse reactions to prolonged aspirin therapy. These include: A. Weight gain. B. Fine motor tremors. C. Respiratory acidosis. D. Bilateral hearing loss. Correct Answer:… Read More »
After gastroscopy, an adaptation that indicates major complication would be: A. Nausea and vomiting B. Abdominal distention C. Increased GI motility D. Difficulty in swallowing Correct Answer: B. Abdominal distention Abdominal distension may be associated with pain, may indicate perforation, a complication that could lead to peritonitis.… Read More »
A client has undergone spinal anesthetic, it will be important that the nurse immediately position the client in: A. On the side, to prevent obstruction of the airway by the tongue B. Flat on back C. On the back, with knees, flexed 15 degrees D. Flat on the stomach, with the… Read More »
Mr. Gonzales was admitted to the hospital with ascites and jaundice. To rule out cirrhosis of the liver which laboratory test indicates liver cirrhosis? A. Decreased red blood cell count B. Decreased serum acid phosphatase level C. Elevated white blood cell count D. Elevated serum aminotransferase Correct… Read More »
The biopsy of Mr. Gonzales confirms the diagnosis of cirrhosis. Mr. Gonzales is at increased risk for excessive bleeding primarily because of: A. Impaired clotting mechanism B. Varix formation C. Inadequate nutrition D. Trauma of invasive procedure Correct Answer: A. Impaired clotting mechanism Cirrhosis of the liver… Read More »
During chemotherapy for lymphocytic leukemia, Mathew develops abdominal pain, fever, and “horse barn” smelling diarrhea. It would be most important for the nurse to advise the physician to order: A. Enzyme-linked immunosuppressant assay (ELISA) test. B. Electrolyte panel and hemogram. C. Stool for Clostridium difficile test. D. Flat plate X-ray of the abdomen.… Read More »
A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes: A. Increasing fluid intake B. Limiting ambulation C. Administering an enema D. Withholding food for 8 hours Correct Answer: A. Increasing fluid intake Before ultrasonography, the client should be taught to drink plenty… Read More »
A teen patient is admitted to the hospital by his physician who suspects a diagnosis of acute glomerulonephritis. Which of the following findings is consistent with this diagnosis? Select all that apply. A. Urine specific gravity of 1.040 B. Urine output of 350 ml in 24 hours C. Brown (“tea-colored”) urine D.… Read More »
A male client seeks medical evaluation for fatigue, night sweats, and a 20-lb weight loss in 6 weeks. To confirm that the client has been infected with the human immunodeficiency virus (HIV), the nurse expects the physician to order: A. E-rosette immunofluorescence B. Quantification of T-lymphocytes. C. Enzyme-linked immunosorbent assay (ELISA). … Read More »