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ATI 24 Spns 126 Med Surg Final Exam Questions

Extract:


Question 1 of 5

A nurse is reviewing the laboratory results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas (ABG) values include: pH 7.22, PaCO₂ 68 mm Hg, Base excess -2, PaO₂ 78 mm Hg, Oxygen saturation 80%, Bicarbonate 28 mEq/L. Which of the following interpretations of the ABG values should the nurse make?

Correct Answer: B

Rationale: Low pH (7.22) and high PaCO₂ (68 mm Hg) indicate respiratory acidosis, caused by CO₂ accumulation due to inadequate ventilation.

Question 2 of 5

Phenazopyridine hydrochloride turns the urine which color?

Correct Answer: B

Rationale: Phenazopyridine hydrochloride turns the urine orange, a common and harmless side effect due to its dye properties.

Question 3 of 5

An adult client newly diagnosed with type 2 diabetes mellitus asks a nurse to explain how he developed the condition. Which of the following responses should the nurse make?

Correct Answer: B

Rationale: Type 2 diabetes involves insulin resistance, where the body cannot process glucose effectively, leading to elevated blood glucose levels.

Question 4 of 5

A nurse is caring for a client who has COPD. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Encouraging 8 glasses of water daily helps thin mucus secretions, improving airway clearance and reducing infection risk in COPD clients.

Question 5 of 5

A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize that which of the following actions is the priority?

Correct Answer: B

Rationale: Evaluating fluid and electrolyte levels is the priority due to significant fluid loss and electrolyte imbalances during an acute exacerbation of ulcerative colitis.

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