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ATI Nur 221 Med Surg unit 4 Exam Questions

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Question 1 of 5

A nurse is caring for a client with the following Arterial Blood Gases (ABG) pH 7.48, PaCO2 53, and HCO3 31. How would these be interpreted?

Correct Answer: B

Rationale: High pH and elevated HCO3 indicate metabolic alkalosis, with high PaCO2 showing partial respiratory compensation.

Question 2 of 5

What is the rational for administering calcium carbonate to a client with chronic renal failure?

Correct Answer: D

Rationale: Calcium carbonate is a phosphate binder that reduces phosphorus absorption from food, addressing hyperphosphatemia in chronic renal failure.

Question 3 of 5

A nurse is preparing to obtain a 24-hr urine collection from a client. Which of the following actions should the nurse plan to take?

Correct Answer: B

Rationale: Refrigerating the urine prevents bacterial growth and chemical breakdown, ensuring accurate lab results.

Question 4 of 5

The client has just returned from OR with respirations of 8 per minute. What set of ABG's would the nurse expect to see?

Correct Answer: B

Rationale: Hypoventilation (8 breaths/min) causes COâ‚‚ retention, leading to respiratory acidosis (low pH, high PaCO2).

Question 5 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients. Which intervention should the nurse perform?

Correct Answer: B

Rationale: Client education on fluid restrictions is a nursing responsibility and cannot be delegated.

Similar Questions

The client is at risk for developing [Dropdown Group 1] and [Dropdown Group 2].
The nurse is developing a plan of care for a client diagnosed with acute renal failure (ARF). Which statement would be an appropriate outcome for the client?
The nurse is reviewing the client's following arterial blood gases: pH 7.33, PaCo2 47, HCO3 24. Which manifestation would the nurse expect the client to be experiencing with this imbalance?
The nurse reviews the client's arterial blood gases and has the following results: pH 7.30. PaCO2 58, and HCO3 of 26. The nurse interprets these results that the client has which acid-base imbalance?
A client with a history of lung disease is at risk for developing respiratory acidosis. The nurse should anticipate to assess which signs and symptoms to indicate respiratory acidosis?

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