Adult Medical Surgical Assessment 2

Adult Medical Surgical Assessment 2
Question: 1 of 50
A nurse is caring for a client who is hyperventilating and has the following results: pH 7.50, PaCo2 29mm Hg,
and HCO2 25mEq/L. The nurse should recognize that the client has which of the follow- ing acid-base
imbalance?
a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Metabolicalkalosis
Answer: b
Question 2 of 50
A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the following
instructions should the nurse include?
a. Eat three large meals daily.
b. Consume high calorie foods.
c. Limit caffeinated drinks to two per day.
d. Drink fluids during mealtime
Answer: b
Question 3 of 50
A nurse is caring for a client who has a right sided pneumothorax. Following chest tube insertion, which of
the following findings indicates that the chest drainage system is functioning correctly?
a. Circle bubbling in the suction chamber
b. Crepitus around the insertion site
c. Constant bubbling in the water seal chamber
d. Absence of breath sounds on the right side
Answer: a
Question 4 of 50
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should
indicate to the nurse the need for immediate intervention?
a. Auxiliary temperature 37.3 degrees Celsius (99 f)
b. Apical pulse 100mm
c. Respiratory rate 30/min
d. Blood pressure 140/34 mm Hg
Answer: c 

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