A client received too much morphine in the postsurgical recovery room. Blood gas
results reveal the patient has developed respiratory acidosis. Which of the following
assessment findings correlate with acute primary respiratory acidosis? Select all that
apply.
A) Irritability
B) Tingling/numbness in the fingers and toes
C) Muscle twitching
D) Respiratory depression
E)Cardiac palpitations
Give this one a try later!
A) Irritability
C) Muscle twitching
D) Respiratory depression
,The nurse is caring for a client with metabolic alkalosis. Which of these arterial blood
gas results supports this diagnosis?
A) pH of 7.45 and HCO3 of 24
B) pH of 7.25 and HCO3 of 18
C) pH of 7.50 and HCO3 of 45
D) pH of 7.35 and HCO3 of 22
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C) pH of 7.50 and HCO3 of 45
- A diagnosis of metabolic acidosis is made on the basis of decreased pH
and HCO3 levels. A pH level that is above the reference range suggests
alkalosis, not acidosis. Similarly, an HCO3 level about the reference range is
associated with alkalosis.
The nurse is explaining to a client about his parathyroid disorder. What information
does the nurse relate to the client regarding the relationship between parathyroid
hormone (PTH) and calcium (Ca+)?
A) When plasma Ca+ and PTH are equal, Ca+ is deposited in the bone at a higher rate
B) When plasma Ca+ is increased, PTH secretion is also increased and Ca+ is
mobilized from the bone.
C) When plasma Ca+ is increased, PTH is inhibited and Ca+ is deposited in the bones.
D) When plasma Ca+ is decreased, PTH is inhibited and Ca+ is removed from the
bones.
Give this one a try later!
, C) When plasma Ca+ is increased, PTH is inhibited and Ca+ is deposited in
the bones.
- When plasma Ca+ increases, PTH is inhibited and Ca+ is deposited in the
bones. When Ca+ is low, PTH is increased (not inhibited) and Ca+ is
mobilized from the bones
When caring for a client with diabetes insipidus (DI), the nurse plans to evaluate which
laboratory study?
A) Measurement of Serum glucose levels and administration of a pharmacologic
antiglucose agent
B) Measurement of antidiuretic hormone (ADH) and plasma/urine osmolality
C) Measurement of blood urea nitrogen (BUN) and creatine clearance
D) Measurement of glucose to detect increased levels
Give this one a try later!
B) Measurement of antidiuretic hormone (ADH) and plasma/urine
osmolality
- A diagnosis of DI would be based on measurement of ADH levels along
with plasma and urine osmolality before and after periods of fluid
deprivation. Assessing the kidney function (BUN and creatinine) and
glucose levels (used for diabetes mellitus) would not be diagnostic of DI.
A nurse suspects that a client with a plasma magnesium level of 1.2 mg/dL
(0.60mmol/L) may have which condition in their history?
A) Excessive intake of dairy products
B) Obesity
C) Abuse of alcohol
D) Kidney failure
Give this one a try later!
results reveal the patient has developed respiratory acidosis. Which of the following
assessment findings correlate with acute primary respiratory acidosis? Select all that
apply.
A) Irritability
B) Tingling/numbness in the fingers and toes
C) Muscle twitching
D) Respiratory depression
E)Cardiac palpitations
Give this one a try later!
A) Irritability
C) Muscle twitching
D) Respiratory depression
,The nurse is caring for a client with metabolic alkalosis. Which of these arterial blood
gas results supports this diagnosis?
A) pH of 7.45 and HCO3 of 24
B) pH of 7.25 and HCO3 of 18
C) pH of 7.50 and HCO3 of 45
D) pH of 7.35 and HCO3 of 22
Give this one a try later!
C) pH of 7.50 and HCO3 of 45
- A diagnosis of metabolic acidosis is made on the basis of decreased pH
and HCO3 levels. A pH level that is above the reference range suggests
alkalosis, not acidosis. Similarly, an HCO3 level about the reference range is
associated with alkalosis.
The nurse is explaining to a client about his parathyroid disorder. What information
does the nurse relate to the client regarding the relationship between parathyroid
hormone (PTH) and calcium (Ca+)?
A) When plasma Ca+ and PTH are equal, Ca+ is deposited in the bone at a higher rate
B) When plasma Ca+ is increased, PTH secretion is also increased and Ca+ is
mobilized from the bone.
C) When plasma Ca+ is increased, PTH is inhibited and Ca+ is deposited in the bones.
D) When plasma Ca+ is decreased, PTH is inhibited and Ca+ is removed from the
bones.
Give this one a try later!
, C) When plasma Ca+ is increased, PTH is inhibited and Ca+ is deposited in
the bones.
- When plasma Ca+ increases, PTH is inhibited and Ca+ is deposited in the
bones. When Ca+ is low, PTH is increased (not inhibited) and Ca+ is
mobilized from the bones
When caring for a client with diabetes insipidus (DI), the nurse plans to evaluate which
laboratory study?
A) Measurement of Serum glucose levels and administration of a pharmacologic
antiglucose agent
B) Measurement of antidiuretic hormone (ADH) and plasma/urine osmolality
C) Measurement of blood urea nitrogen (BUN) and creatine clearance
D) Measurement of glucose to detect increased levels
Give this one a try later!
B) Measurement of antidiuretic hormone (ADH) and plasma/urine
osmolality
- A diagnosis of DI would be based on measurement of ADH levels along
with plasma and urine osmolality before and after periods of fluid
deprivation. Assessing the kidney function (BUN and creatinine) and
glucose levels (used for diabetes mellitus) would not be diagnostic of DI.
A nurse suspects that a client with a plasma magnesium level of 1.2 mg/dL
(0.60mmol/L) may have which condition in their history?
A) Excessive intake of dairy products
B) Obesity
C) Abuse of alcohol
D) Kidney failure
Give this one a try later!
