Exam 1: NR324 / NR 324 Adult Health
I | Actual Questions and Answers
Latest Updated (Graded A+) -
Chamberlain
The nurse is caring for a client with a nasogastric tube that is attached to low
suction. The nurse monitors the client for manifestations of which disorder
that the client is at risk for?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis -
Correct Answer-B. Metabolic alkalosis
Rationale:
>Metabolic alkalosis is defined as a deficit or loss of hydrogen ions or acids or
an excess of base (bicarbonate) that results from the accumulation of base or
from a loss of acid without a comparable loss of base in the body fluids.
>This occurs in conditions resulting in hypovolemia, the loss of gastric fluid,
excessive bicarbonate intake, the massive transfusion of whole blood, and
hyperaldosteronism.
,>Loss of gastric fluid via nasogastric suction or vomiting causes metabolic
alkalosis as a result of the loss of hydrochloric acid
On review of the clients' medical records, the nurse determines that which
client is at risk for
fluid volume excess?
A. The client taking diuretics who has tenting of the skin
B. The client with an ileostomy from a recent abdominal surgery
C. The client who requires intermittent gastrointestinal suctioning
D. The client with kidney disease and a 12-year history of diabetes mellitus -
Correct Answer-D. The client with kidney disease and a 12-year history of
diabetes mellitus
Which client is at risk for the development of a potassium level of 5.5 mEq/L
(5.5 mmol/L)?
A. The client with colitis
B. The client with Cushing's syndrome
C. The client who has been overusing laxatives
, D. The client who has sustained a traumatic burn -
Correct Answer-D. The client who has sustained a traumatic burn
Rationale:
>The normal potassium level is 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L). A
serum potassium level higher than 5.0 mEq/L (5.0 mmol/L) indicates
hyperkalemia.
>Clients who experience cellular shifting of potassium in the early stages of
massive cell destruction, such as with trauma, burns, sepsis, or metabolic or
respiratory acidosis, are at risk for hyperkalemia.
>The client with Cushing's syndrome or colitis and the client who has been
overusing laxatives are at risk for hypokalemia
A client with a 3-day history of nausea and vomiting presents to the emergency
department.
The client is hypoventilating and has a respiratory rate of 10 breaths per
minute. The
electrocardiogram (ECG) monitor displays tachycardia, with a heart rate of 120
beats per minute. Arterial blood gases are drawn and the nurse reviews the
results, expecting to note
which finding?
A. A decreased pH and an increased Paco2
B. An increased pH and a decreased Paco2
I | Actual Questions and Answers
Latest Updated (Graded A+) -
Chamberlain
The nurse is caring for a client with a nasogastric tube that is attached to low
suction. The nurse monitors the client for manifestations of which disorder
that the client is at risk for?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis -
Correct Answer-B. Metabolic alkalosis
Rationale:
>Metabolic alkalosis is defined as a deficit or loss of hydrogen ions or acids or
an excess of base (bicarbonate) that results from the accumulation of base or
from a loss of acid without a comparable loss of base in the body fluids.
>This occurs in conditions resulting in hypovolemia, the loss of gastric fluid,
excessive bicarbonate intake, the massive transfusion of whole blood, and
hyperaldosteronism.
,>Loss of gastric fluid via nasogastric suction or vomiting causes metabolic
alkalosis as a result of the loss of hydrochloric acid
On review of the clients' medical records, the nurse determines that which
client is at risk for
fluid volume excess?
A. The client taking diuretics who has tenting of the skin
B. The client with an ileostomy from a recent abdominal surgery
C. The client who requires intermittent gastrointestinal suctioning
D. The client with kidney disease and a 12-year history of diabetes mellitus -
Correct Answer-D. The client with kidney disease and a 12-year history of
diabetes mellitus
Which client is at risk for the development of a potassium level of 5.5 mEq/L
(5.5 mmol/L)?
A. The client with colitis
B. The client with Cushing's syndrome
C. The client who has been overusing laxatives
, D. The client who has sustained a traumatic burn -
Correct Answer-D. The client who has sustained a traumatic burn
Rationale:
>The normal potassium level is 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L). A
serum potassium level higher than 5.0 mEq/L (5.0 mmol/L) indicates
hyperkalemia.
>Clients who experience cellular shifting of potassium in the early stages of
massive cell destruction, such as with trauma, burns, sepsis, or metabolic or
respiratory acidosis, are at risk for hyperkalemia.
>The client with Cushing's syndrome or colitis and the client who has been
overusing laxatives are at risk for hypokalemia
A client with a 3-day history of nausea and vomiting presents to the emergency
department.
The client is hypoventilating and has a respiratory rate of 10 breaths per
minute. The
electrocardiogram (ECG) monitor displays tachycardia, with a heart rate of 120
beats per minute. Arterial blood gases are drawn and the nurse reviews the
results, expecting to note
which finding?
A. A decreased pH and an increased Paco2
B. An increased pH and a decreased Paco2
