Complete Solutions
A charge nurse is teaching a group of nurses about conditions
related to metabolic acidosis. Which of the following statements
by a unit nurse indicates the teaching has been effective?
1) "metabolic acidosis can occur due to diabetic ketoacidosis
2) "Metabolic acidosis can occur in a client who has myasthenia
gravis"
3) "metabolic acidosis can occur in a client who has asthma"
4) "metabolic acidosis can occur due to cancer" Correct
Answer 1
A nures is caring for client who has a blood potassium 5.4
mEq/L. The nurse should assess for which of the following
manifestations?
1) ECG changes
2) constipation
3) polyuria
4) paresthesia Correct Answer 1
A nurse in a clinic is reviewing the laboratory reports of a client
who has suspected cholelithasis. Which of the following is
expected?
1) Blood amylase 80units/L
2) WBC 9000/mm3
3) direct bilirubin 2.1 mg/dL
4) Alkaline phosphatase 25 units/L Correct Answer 3
, A nurse in the emergency department is completing an
assessment of a client who has suspected stomach perforation
due to a peptic ulcer. Which of the following findings should the
nurse expect?
Select all that apply.
1) rigid abdomen
2) tachycardia
3) elevated BP
4) circumoral cyanosis
5) rebound tenderness Correct Answer 1, 2, 5
A nurse is admitting a client who reports nausea, vomiting, and
weakness. The client has dry mucous membranes and blood
pressure 102/64 mmHg. Which of the following finding should
the nurse identify as manifestations of fluid volume deficit.
Select all that apply.
1) decreased skin turgor
2) concentrated urine
3) bradycardia
4) low-grade fever
5) tachypnea Correct Answer 1, 2, 4, 5
A nurse is admitting an older adult client who reports a weight
gain of 2.3 kg (5lb) in 48 hours. Which of the following
manifestations of fluid volume excess should the nurse expect?
Select all that apply.
1) dyspnea