guide Test Merged With Correct
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The nurse is caring for a client with the following ABG's of pH of 7.49,
PC02 45 and HCO3 30. The nurse interprets this as which of the
following? - ANSWER-Metabolic alkalosis
The nurse is performing a skin assessment and notes a red area on the
client coccyx that does not blanch but has no broken skin the nurse
correctly documents this as which of the following? - ANSWER-
Decubitus pressure ulcer
Which of the following describes:
carbon dioxide levels in the blood increase lowering pH and
stimulating the respiratory center resulting in increased rate and
depth of respirations and hyperventilation? - ANSWER-Hypercapnia
, Which of the following would be considered an autoimmune disease?
- ANSWER-Rheumatoid arthritis (RA)
Pernicious anemia
AIDs
The nurse is caring for a client with longstanding Type 2 diabetes
which of the following is a potential long-term complication of the
disease? - ANSWER-Diabetic Retinopathy
What are the common warnings of a myocardial infarction? Select all
that apply - ANSWER-· Feeling of pressure in chest
· Nausea
· Anxiety & Fear
· Diaphoresis (sweating), SOB
Which of the following are the cardinal signs of congestive heart
failure? - ANSWER-· Exercise intolerance and Dysrhythmias
The nurse has a client with heart failure the client would like the nurse
to explain what the diagnosis means. Which of the following
responses should the nurse make? - ANSWER-The heart is unable to
pump sufficient blood to meet the metabolic needs of the body
A client with obstructive pulmonary disease COPD presents to the
emergency room with difficulty breathing. The physical examination
reveals bluish skin nailbeds and mucous membranes. Which term
correctly describes this condition? - ANSWER-Cyanosis
The nurse is assessing a client and notes wheezing and a cough. The
client uses accessory muscles during breathing. The primary health