MDC II - Exam 2 Questions And Well Verified
Solutions
A client has acute alcohol intoxication. What acid-base imbalance is the client at
risk for? - ANSWER -metabolic acidosis.
A client comes into the ED with respiratory acidosis. What type of medication
would the nurse likely administer? - ANSWER -bronchodilators
A client comes into the ED with a high fever and is hyperventilating. His ABG
results are pH 7.51, PaCO2 28 mm Hg, and HCO3 24 mEq/L. The nurse should
identify that the client has which acid-base imbalance? - ANSWER -Respiratory
Alkalosis. Because the client is breathing rapidly, he is exhaling excessive amounts
of carbon dioxide. This loss of carbon dioxide decreases the hydrogen ion level of
the blood, causing the pH to increase and resulting in respiratory alkalosis.
A nurse is caring for a client who has metabolic alkalosis. As the client
compensates for this ac
id-base imbalance, which of the following mechanisms should the nurse expect the
client's body to use? - ANSWER -Hypoventilation.
Hypoventilation is the mechanism that helps clients compensate for metabolic
alkalosis.
A nurse is inserting an NG tube for a client who is beginning enteral feedings.
What action should the nurse take to verify tube placement before administering
initial feeding? - ANSWER -Verify tube placement with radiography
Which patient statement alerts the nurse to perform a thorough GI history and
focused assessment?
A."I don't like the taste of spicy foods."
B."I got dentures four years ago."
C."I experience occasional constipation."
, D."I take ibuprofen three times daily for arthritis." - ANSWER -D. large amounts
of aspirin or NSAIDs can cause peptic ulcer disease and GI bleeding.
After abdominal surgery, which question should the nurse ask the patient to
determine whether peristaltic movement is returning?
A."Have you passed flatus?"
B."Are you hungry"
C."Do you have any nausea?"
D."Is your pain level manageable?" - ANSWER -A). Passing gas is evidence of
peristaltic movement
When administering a new GI medication to an older patient, the nurse anticipates
what?
A.A higher-than-normal dose may be needed.
B.Close monitoring is needed because toxic levels may develop.
C.Older adults always require a lower-than-normal dose than younger patients.
Nausea and vomiting may develop rapidly and are common side effects in older
adults - ANSWER -B.Close monitoring is needed because toxic levels may
develop.
A patient in the ED has been experiencing upper abdominal pain after meals for
the past several months. She reports pain after napping or sleeping at night. She
has been taking OTC antacids with some relief. The nurse understands that which
assessment finding places the patient at risk for peptic ulcer disease?
A.GERD 4 years ago
B.Weight loss of 35 lbs
C.Use of NSAIDs to control arthritis pain
D.Recent discontinuation of prednisone (Deltasone) - ANSWER -C. use of
NSAIDS to control arthritis pain
NSAID use and H. Pylori bacteria are the most common causes of ulcers
Solutions
A client has acute alcohol intoxication. What acid-base imbalance is the client at
risk for? - ANSWER -metabolic acidosis.
A client comes into the ED with respiratory acidosis. What type of medication
would the nurse likely administer? - ANSWER -bronchodilators
A client comes into the ED with a high fever and is hyperventilating. His ABG
results are pH 7.51, PaCO2 28 mm Hg, and HCO3 24 mEq/L. The nurse should
identify that the client has which acid-base imbalance? - ANSWER -Respiratory
Alkalosis. Because the client is breathing rapidly, he is exhaling excessive amounts
of carbon dioxide. This loss of carbon dioxide decreases the hydrogen ion level of
the blood, causing the pH to increase and resulting in respiratory alkalosis.
A nurse is caring for a client who has metabolic alkalosis. As the client
compensates for this ac
id-base imbalance, which of the following mechanisms should the nurse expect the
client's body to use? - ANSWER -Hypoventilation.
Hypoventilation is the mechanism that helps clients compensate for metabolic
alkalosis.
A nurse is inserting an NG tube for a client who is beginning enteral feedings.
What action should the nurse take to verify tube placement before administering
initial feeding? - ANSWER -Verify tube placement with radiography
Which patient statement alerts the nurse to perform a thorough GI history and
focused assessment?
A."I don't like the taste of spicy foods."
B."I got dentures four years ago."
C."I experience occasional constipation."
, D."I take ibuprofen three times daily for arthritis." - ANSWER -D. large amounts
of aspirin or NSAIDs can cause peptic ulcer disease and GI bleeding.
After abdominal surgery, which question should the nurse ask the patient to
determine whether peristaltic movement is returning?
A."Have you passed flatus?"
B."Are you hungry"
C."Do you have any nausea?"
D."Is your pain level manageable?" - ANSWER -A). Passing gas is evidence of
peristaltic movement
When administering a new GI medication to an older patient, the nurse anticipates
what?
A.A higher-than-normal dose may be needed.
B.Close monitoring is needed because toxic levels may develop.
C.Older adults always require a lower-than-normal dose than younger patients.
Nausea and vomiting may develop rapidly and are common side effects in older
adults - ANSWER -B.Close monitoring is needed because toxic levels may
develop.
A patient in the ED has been experiencing upper abdominal pain after meals for
the past several months. She reports pain after napping or sleeping at night. She
has been taking OTC antacids with some relief. The nurse understands that which
assessment finding places the patient at risk for peptic ulcer disease?
A.GERD 4 years ago
B.Weight loss of 35 lbs
C.Use of NSAIDs to control arthritis pain
D.Recent discontinuation of prednisone (Deltasone) - ANSWER -C. use of
NSAIDS to control arthritis pain
NSAID use and H. Pylori bacteria are the most common causes of ulcers
