Final NEW 102.pdf - 1 The emergency-room nurse is caring...

1 The emergency-room nurse is caring for a trauma client who has the following arterial blood
gas results: pH 7.26, PaCO2 28, HCO3 11 mEq/L. How should the nurse interpret these results?
A. Respiratory acidosis with no compensation
B. Metabolic alkalosis with compensatory alkalosis
C. Metabolic acidosis with no compensation
D. Metabolic acidosis with compensatory respiratory alkalosis
2 The nurse is working on a burn unit and an acutely ill client is exhibiting signs and symptoms
of third spacing. Based on this change in status, the nurse should expect the client to exhibit
signs and symptoms of which imbalance?
3 A client with a longstanding diagnosis of generalized anxiety disorder presents to the
emergency room. The triage nurse notes upon assessment that the client is hyperventilating. The
triage nurse is aware that hyperventilation is the most common cause of which acid – base
imbalance?
4 The nurse is caring for a client who has a diagnosis of syndrome of inappropriate antidiuretic
hormone secretion. The plan of care includes assessment of specific gravity every four hours.
The results of this test will allow the nurse to assess which aspect of the client's health?

5 A nurse is caring for a client who just has been diagnosed with a peptic ulcer. When teaching
the client about his new diagnosis, how should the nurse best describe it?
6 A client with a history of peptic ulcer disease has presented to the emergency department (ED)
in distress. What assessment finding would lead the ED nurse to suspect that the client has a
perforated ulcer?