A diabetic patient's arterial blood gas (ABG) results are pH 7.28; PaCO₂ 34 mm Hg; PaO₂ 85 mm Hg; HCO⁴‚…⁴» 18 mEq/L. The nurse would expect which finding?

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Question 1 of 5

A diabetic patient's arterial blood gas (ABG) results are pH 7.28; PaCO₂ 34 mm Hg; PaO₂ 85 mm Hg; HCO⁴‚…⁴» 18 mEq/L. The nurse would expect which finding?

Correct Answer: B

Rationale: The ABG results indicate metabolic acidosis (low pH, low HCO₃⁻); Kussmaul respirations are a compensatory mechanism seen in diabetic ketoacidosis.

Question 2 of 5

The nurse provides discharge instructions to a patient who was hospitalized for pneumonia. Which statement, if made by the patient, indicates a good understanding of the instructions?

Correct Answer: B

Rationale: Continuing deep breathing and coughing exercises at home promotes lung expansion and clearance, indicating proper understanding of post-pneumonia care.

Question 3 of 5

A patient with a pleural effusion is scheduled for a thoracentesis. Which action should the nurse take to prepare the patient for the procedure?

Correct Answer: B

Rationale: Sitting upright facilitates access to the pleural space and reduces risk during thoracentesis.

Question 4 of 5

The nurse teaches a patient how to administer formoterol (Perforomist) through a nebulizer. Which action by the patient indicates good understanding of the teaching?

Correct Answer: B

Rationale: Coughing after nebulization clears airways, ensuring medication reaches deeper lung areas; spacers are not used with nebulizers.

Question 5 of 5

A young adult patient with cystic fibrosis (CF) is admitted to the hospital with increased dyspnea. Which intervention should the nurse include in the plan of care?

Correct Answer: D

Rationale: Chest physiotherapy helps clear mucus in CF, addressing dyspnea; diagnosis is already confirmed.

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