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Exam (elaborations)

NSG 320 /NSG 320 (NEW 2025 /2026 Adult Health Nursing Questions & Answers 100% Correct (Verified Solutions)|Graded A Final Exam Review.

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NSG 320 /NSG 320 (NEW 2025 /2026 Adult Health Nursing Questions & Answers 100% Correct (Verified Solutions)|Graded A Final Exam Review.

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NSG 320/NSG 320(NEW 2025/2026 Adult Health Nursing Questions &
Answers 100% Correct (Verified Solutions)|Graded A Final Exam Review.
The nurse is evaluating the ABG results
for a patient who is suspected of hav-
ing an acid-base imbalance. The ABG
analysis indicates a decreased pH, an Respiratory acidosis
increased PaCO2, and a normal HCO3-.
Which conclusion by the nurse is accu-
rate?
Effective handwashing
A patient with COPD is experiencing Preventative vaccinations
shortness of breath and a cough. He
asks the nurse what is the best way to Explanation:
prevent exacerbations. She should rec- Handwashing and vaccinations will re-
ommend which of the following: (select duce the risk for secondary infections
all that apply) which will in turn reduce the risk of exac-
erbations
Metabolic alkalosis
A patient presents with muscle twitch-
ing and tetany. Ten minutes after hos- Explanation:
pital admission, the patient experiences Clinical manifestations associated with
a seizure. Which acid-base imbalance metabolic alkalosis include muscle
should the nurse suspect? twitching and tetany that may progress to
seizure.
"I will record my blood glucose levels in a
log book and bring these to my appoint-
The nurse is educating a patient with ments."
type 1 diabetes about disease self-man-
agement. Which statement indicates the Explanation:
patient understands the instructions giv- The patient should record blood glucose
en? levels in a log book and bring this to
all appointments with the health care
provider.

Kussmaul respirations

Explanation:
Dyspnea is an assessment finding that
would cause the nurse to suspect respi-
ratory, not metabolic, acidosis. Kussmaul
1/5

, NSG 320/NSG 320(NEW 2025/2026 Adult Health Nursing Questions &
Answers 100% Correct (Verified Solutions)|Graded A Final Exam Review.
respirations are frequent, deep breaths
that constitute a compensatory mecha-
nism in an effort to breathe out more car-
bon dioxide. This is an assessment find-
Which assessment finding causes the
ing that would cause the nurse to suspect
nurse to suspect that a patient is expe-
that the patient is experiencing metabolic
riencing metabolic acidosis?
acidosis. Polyuria and muscle twitching
are both is an assessment findings that
would cause the nurse to suspect meta-
bolic alkalosis, not acidosis.
Give the patient a snack
Check the patient's blood glucose level
Which interventions should the nurse
perform for a patient with diabetes Explanation:
who appears confused and responds to The patient is exhibiting signs of
questions with irritation? (select all that hypoglycemia, and the nurse should
apply) check the patient's blood glucose level
to confirm this along with providing the
patient with a snack.
A family member asks the nurse how a
Pneumonia develops when bacteria in-
patient develops pneumonia. What is the
vades the lower airways
best response by the nurse?
Because of your health history, you
should receive the vaccine even though
A 22-year-old patient with cystic fibrosis
you are not 65 years old.
is receiving a pneumonia vaccine. The
patient asks the nurse why it is neces- Explanation:
sary to have the vaccine at such a young
Cystic fibrosis is a chronic illness affect-
age. What is the best response by the
ing the lungs. Patients with chronic ill-
nurse?
nesses should receive the vaccine, even
if they are younger than 65 years.

Perform hand hygiene before and after
A nurse is caring for a patient in the unit
providing patient care.
that is in a coma. Which nursing interven-
tions should be included to prevent this
Reposition patient every two hours while
patient from getting pneumonia? (select
in bed.
all that apply)

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