Exam (elaborations)
ACM EXAM 3 QUESTIONS & ANSWERS VERIFIED 100% CORRECT!!
- Course
- Institution
ACM EXAM 3 QUESTIONS & ANSWERS VERIFIED 100% CORRECT!!
[Show more]
Content preview
ACM EXAM 3 QUESTIONS & ANSWERSVERIFIED 100% CORRECT!!
A nurse assesses a client with diabetes mellitus who is admitted with an acid-
base imbalance. The client's arterial blood gas values are pH 7.36, PaO2 98 mm
Hg, PaCO2 33 mm Hg, and HCO3 18 mEq/L (18 mmol/L). Which sign or
symptom does the nurse identify as an example of the client's compensatory
mechanisms?
a. Increased rate and depth of respirations
b. Increased urinary output
c. Increased thirst and hunger
d. Increased release of acids from the kidneys Answer - A
A nurse assesses a client who is experiencing an acid-base imbalance. The
client's arterial blood gas values are pH 7.2, PaO2 88 mm Hg, PaCO2 38 mm Hg,
and HCO3 19 mEq/L (19 mmol/L). Which assessment would the nurse perform
first?
a. Cardiac rate and rhythm
b. Skin and mucous membranes
c. Musculoskeletal strength
d. Level of orientation Answer - A
. A nurse assesses a client who is prescribed furosemide for hypertension. For
which acid-base imbalance does the nurse assess to prevent complications of
this therapy?
a. Respiratory acidosis
b. Respiratory alkalosis
,c. Metabolic acidosis
d. Metabolic alkalosis Answer - D
A nurse is caring for a client who is experiencing moderate metabolic alkalosis.
What action would the nurse take?
a. Monitor daily hemoglobin and hematocrit values.
b. Administer furosemide intravenously. c. Encourage the client to take deep
breaths.
d. Teach the client fall prevention measures. Answer - D
A nurse is assessing a client who has acute pancreatitis and is at risk for an
acid-base imbalance. For which manifestation of this acid-base imbalance
would the nurse assess?
a. Agitation
b. Kussmaul respirations
c. Seizures
d. Positive Chvostek sign Answer - B
A nurse assesses a client who is admitted with an acid-base imbalance. The
client's arterial blood gas values were pH 7.32, PaO2 85 mm Hg, PaCO2 34 mm
Hg, and HCO3 16 mEq/L (16 mmol/L). The most recent blood gasses show a
drop in the pH. What action does the nurse take next?
a. Assess client's rate, rhythm, and depth of respiration.
b. Measure the client's pulse and blood pressure.
c. Document the findings and continue to monitor.
d. Notify the primary health care provider. Answer - A
,A nurse is caring for a client who has the following arterial blood values: pH
7.12, PaO2 56 mm Hg, PaCO2 65 mm Hg, and HCO3 22 mEq/L (22 mmol/L).
Which clinical situation does the nurse correlate with these values?
a. Diabetic ketoacidosis in a person with emphysema
b. Bronchial obstruction related to aspiration of a hot dog
c. Anxiety-induced hyperventilation in an adolescent
d. Diarrhea for 36 hours in an older, frail woman Answer - B
A nurse is caring for a client who has just experienced a 90-second tonic-clonic
seizure. The client's arterial blood gas values are pH 6.88, PaO2 50 mm Hg,
PaCO2 60 mm Hg, and HCO3 22 mEq/L (22 mmol/L). What action would the
nurse take first?
a. Apply oxygen by mask or nasal cannula.
b. Apply a paper bag over the client's nose and mouth.
c. Administer 50 mL of sodium bicarbonate intravenously.
d. Administer 50 mL of 20% glucose and 20 units of regular insulin. Answer - A
After teaching a client who was malnourished and is being discharged, a nurse
assesses the client's understanding. Which statement indicates that the client
correctly understood teaching to decrease risk for the development of
metabolic acidosis? a. "I will drink at least three glasses of milk each day."
b. "I will eat three well-balanced meals and a snack daily."
c. "I will not take pain medication and antihistamines together."
d. "I will avoid salting my food when cooking or during meals." Answer - B
A nurse evaluates the following arterial blood gas values in a client: pH 7.48,
PaO2 98 mm Hg, PaCO2 28 mm Hg, and HCO3 22 mEq/L (22 mmol/L). Which
client condition does the nurse correlate with these results?
a. Diarrhea and vomiting for 36 hours
, b. Anxiety-induced hyperventilation
c. Chronic obstructive pulmonary disease (COPD)
d. Diabetic ketoacidosis and emphysema Answer - B
After providing discharge teaching, a nurse assesses the client's understanding
regarding increased risk for metabolic alkalosis. Which statement indicates that
the client needs additional teaching?
a. "I don't drink milk because it gives me gas and diarrhea."
B. "I have been taking digoxin every day for the last 15 years."
c. "I take sodium bicarbonate after every meal to prevent heartburn."
d. "In hot weather, I sweat so much that I drink six glasses of water each day."
Answer - C
A nurse is caring for a client who is experiencing excessive diarrhea. The client's
arterial blood gas values are pH 7.18, PaO2 98 mm Hg, PaCO2 45 mm Hg, and
HCO3 16 mEq/L (16 mmol/L). Which primary health care provider order does
the nurse expect to receive?
a. Furosemide 40 mg
b. Sodium bicarbonate
c. Mechanical ventilation
d. Indwelling urinary catheter Answer - B
A nurse evaluates a client's arterial blood gas values (ABGs): pH 7.30, PaO2 86
mm Hg, PaCO2 55 mm Hg, and HCO3 22 mEq/L (22 mmol/L). Which
intervention does the nurse implement first?
a. Assess the airway.
b. Administer prescribed bronchodilators.
c. Provide oxygen.
d. Administer prescribed mucolytics. Answer - A
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller EvaTee. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $24.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82871 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now