Questions 48

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ATI Med Surg Monroe College Questions

Extract:


Question 1 of 5

A nurse is caring for a client whose arterial blood gas results show a pH of 7.3 and a PaCO2 of 50 mm Hg. The nurse should identify that the client is experiencing which of the following acid-base imbalances?

Correct Answer: C

Rationale: Respiratory acidosis is characterized by a low pH and a high PaCO2, indicating impaired gas exchange or hypoventilation, which causes accumulation of carbon dioxide in the blood.

Question 2 of 5

A nurse is reviewing the medical records of four clients who have an acid-base imbalance. The nurse should recognize that which of the following clients is at risk for metabolic acidosis?

Correct Answer: B

Rationale: Diarrhea causes loss of bicarbonate, increasing the risk of metabolic acidosis.

Question 3 of 5

A nurse is assessing a client who has fluid volume deficit. The nurse should expect which of the following findings?

Correct Answer: A

Rationale: Increased BUN reflects concentrated blood in fluid volume deficit due to reduced kidney filtration.

Question 4 of 5

A patient has a serum phosphate level of 4.7 mg/dL. Which treatments should the nurse expect to be prescribed for this patient? (Select all that apply)

Correct Answer: A,E

Rationale: Calcium-containing antacids and IV normal saline help lower phosphate levels in hyperphosphatemia.

Question 5 of 5

A nurse is reviewing the medical record of a client who has a potassium level of 3.0 mEq/L. Which of the following findings should the nurse recognize as a potential causative factor?

Correct Answer: C

Rationale: Gastric suction removes potassium-containing fluids, causing hypokalemia by reducing serum potassium levels.

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