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The nurse is caring for a client that presented with an asthma attack. The client was working out and forgot to take an inhaler. The respiratory rate is 24 breaths per minute. The pulse oximeter is 85% on room air. The arterial blood gas (ABG) is as follows: pH:7.33, PaCO2: 50 mm Hg, paO2: 70 mm Hg, HCO3: 26 mEq/L. What acid-base deficit is the client experiencing?
E. Respiratory acidosis with partial metabolic compensation
F. Respiratory acidosis with full metabolic compensation
G. Metabolic acidosis with full respiratory compensation
H. Metabolic alkalosis without compensation

A nurse is educating a Type 1 diabetic with metabolic acidosis. Which of the following statements indicates the teaching has been effective on the cause of metabolic acidosis?
a. metabolic acidosis can occur due to diabetic ketoacidosis
b. metabolic acidosis can occur due to excessive vomiting
c. metabolic acidosis can occur due to excessive urination
d. metabolic acidosis can occur due to overhydration

A nurse is caring for a client admitted with acute confusion and weakness. The client admitted to ingesting a large amount of aspirins. Vital signs reveal blood pressure 102/70 mm Hg. Heart rate 120 beats/minute and deep respirations at 42 breaths/minute. Arterial blood gas (ABG) results reveal pH. 7.2 paco2 35 mm hg, paO2 90MM HG, and HCO3 18 meq/L. how does the nurse interpret these results?
a. Metabolic acidosis without compensation
b. Respiratory acidosis without compensation
c. Metabolic alkalosis with partial respiratory compensation
d. Metabolic acidosis with full respiratory compensation

The nurse is caring for a client who recently ingested a large amount of antacids. Which of the following conditions is this client at risk for?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory alkalosis
d. Respiratory acidosis

  1. When assessing arterial blood gas (ABG) results, what is the first step that the nurse should take for interpretation?
    A. Check for compensation
    B. Notify the healthcare provider
    C. Determine the primary cause
    D. Determine oxygenation

What condition(s) does the nurse anticipate in a client with metabolic acidosis? ( select all thatapply)
A. Diabetic ketoacidosis
B. seizure activity
C. starvation
D. kidney failure
E. Airway obstruction

The nurse is caring for a client who is status post an upper endoscopic procedure. Which assessment finding would the nurse anticipate for the client to resume their diet?
a. Negative stool culture
b. Normal temperature
c. Effective swallowing
d. Bowel movement

A nurse is caring for a type one diabetic client with metabolic alkalosis. Which of the following symptoms would the nurse expect the client to exhibit?
A. Tachycardia
B. Kussmaul respirations
C. Bradycardia
D. decreased reflexes

While discharging a client with peptic ulcer disease. Which of these should the nurse include in the education? (select all that apply)
A. Resume diet as preferred
B. Avoid alcohol consumption
C. Adhere to prescribed medications
D. When to notify the healthcare provider
E. Encourage non-steroidal anti-inflammatory drugs (NSAIDs) for pain

A client has the following arterial blood gas (ABG) results. How would the nurse interpret these results?
pH 7.42
PaCO2 55 mm Hg
HCO3 32 mEq/L
A. Metabolic alkalosis with partial respiratory compensation
B. Metabolic alkalosis with full respiratory compensation
C. Respiratory alkalosis with full metabolic compensation
D. Respiratory alkalosis with partial respiratory compensation

The nurse is caring for a client that presented with an asthma attack. The client was workingout and forgot to take an inhaler. The respiratory rate is 38 breaths per minute. The pulse oximeter is 85% on room air. The arterial blood gas (ABG) is as follows: pH:7.35, PaCO2: 50 mm Hg, paO2: 70 mm Hg, HCO3: 32 mEq/L. What acid-base deficit is the client experiencing?
A. Respiratory acidosis with partial metabolic compensation
B. Respiratory acidosis with full metabolic compensation
C. Metabolic acidosis with full respiratory compensation
D. Metabolic alkalosis without compensation

The nurse is caring for an 80-year-old client diagnosed with gastric cancer three months ago.The client has undergone chemotherapy and radiation and recently had surgery to remove the cancer. During the surgical procedure, the surgeon discovered that the cancer had spread to other organs. The client’s family is having difficulty deciding treatment options. Which of the following interventions are appropriate for the RN in providing the client’s care?
A. Schedule client for additional chemotherapy
B. Schedule client for additional radiation therapy
C. Request a consult for palliative care services
D. Discharge client to hospice

  1. Which of the following conditions would result in respiratory acidosis?
    A. Diabetic ketoacidosis
    B. Hypoglycemia
    C. Chronic obstructive pulmonary disease
    D. Salicylate toxicity
  2. A nurse is providing discharge instructions to a client recently diagnosed with peptic ulcer disease. Which of the following should not be part of the discharge instructions?
    A. Avoid spicy foods
    B. Resume alcohol in moderation
    C. Follow medications as prescribed
    D. Signs and symptoms to report
  3. What is the nurse’s priority to include when educating a client with esophageal cancer about their plan of care?
    A. “One of the most important things we need to monitor for is weight loss. Please weigh yourself daily.”
    B. “Esophageal dilation is only used once during the course of your treatment when your side effects are too severe to tolerate.”
    C. “If you get tired in the afternoon, it’s good idea to take a nap after lunch to reenergize.”
    D. “Hospice care might be needed towards the end, but you can still have chemotherapy at the same time.”
  4. The following arterial blood gas reflects which of the following acid-base imbalance?
    pH 7.38
    PaCO2 40 mm Hg paO2 94 mm Hg
    HCO3 26mEq/L
    A. Respiratory acidosis fully compensated
    B. Metabolic acidosis partially compensated
    C. Normal arterial blood gas
    D. Respiratory alkalosis

12 A nurse is caring for a client who identities as Native American and is being treated for metabolic alkalosis. Before discharge, which of the following will address the multidimensional needs of the client? (Select all that apply.)
A. Provide emotional support
B. Provide education
C. Conduct a cultural assessment
D. Consult the dietician
E. Ensure the client is on strict bed rest

  1. A nurse is caring for a client admitted with a fever, cough, and body aches with a positive influenza A screening. The client states the sickness started last week but could not afford to miss work with a new job and no health insurance. The client expresses financial concern with the hospital stay. Which of the following intervention would the nurse implement to support the care of the client? (select all that apply.)
    A. Consult social worker
    B. Notify the client’s employer
    C. Notify the dietician
    D. Consult client financial services
    E. Nurse requests psychiatric consult
  2. A client has the following arterial blood gas (ABG) results. How would the nurse interpret these results? pH 7.36
    PaCO2 58 mm Hg
    HCO3 30mEq/L
    A. Metabolic acidosis with full respiratory compensation
    B. Metabolic alkalosis with partial respiratory compensation
    C. Respiratory acidosis with full metabolic compensation
    D. Respiratory acidosis with partial metabolic compensation
  3. Which of the following signs and symptoms should the investigate first when assessing aclient diagnosed with respiratory acidosis?
    A. Warm flushed skin
    B. Skeletal muscle weakness
    C. Confusion
    D. Respiratory rate of 8 breaths/minutes
  4. The nurse is caring for a 45-year-old client with asthma. The client presented to theemergency department with shortness of breath and arterial blood gas (ABG) result of pH:7.28, PaCO2: 50 mm Hg, PO2; 84 mm Hg, and HCO3: 26 mEq/L. Which of the following is the correct interpretation of the client’s ABG?
    A. Metabolic acidosis
    B. Respiratory alkalosis
    C. Respiratory acidosis
    D. Metabolic alkalosis
  5. The nurse provides discharge instructions to a client recently diagnosed with a hiatal hernia. The client also has a history of gastroesophageal reflux disease (GERD). Which of the following should be included in the client and family education?
    A. Remain in an upright position once to two hours after eating
    B. Take antacids before eating
    C. Drink a carbonated beverage before meals
    D. Sleep with the head of the bed flat
  6. A nurse is performing discharge teaching for a client who was recently diagnosed withgastritis. Which of the following should be included in the texting?
    A. Limit exercise
    B. Eat three large meals each day
    C. stress reduction
    D. Take nonsteroidal anti-inflammatory drugs (NSAIDs) as prescribed
  7. Which of the following laboratory tests does the nurse need to assess to determine if the client’s acid-base imbalance is respiratory or metabolic?
    A. Complete blood count
    B. Liver function test
    C. Arterial blood gas
    D. Complete metabolic panel
  8. A nurse is caring for a client with metabolic acidosis from pancreatitis. The nurse anticipates implementing, which of the following?
    A. Administer insulin
    B. Administer sodium bicarbonate
    C. Administer antiemetics
    D. Administer mucolytic
  9. The nurse is caring for a client who is concerned about developing oral tumors. Which client statement requires immediate nursing intervention?
    A. “I used to chew tobacco but quit five years ago”
    B. “I use sunscreen to cover my face and body when i’m at the beach.”
    C. “I don’t have dental insurance, so i can’t get dental check ups.”
    D. “I only drink alcohol on special occasions like my birthday and anniversary.”
  10. Which of the following electrolyte imbalances would be the priority to address in a client with end-stage renal failure?
    A. Hyperkalemia
    B. Hyponatremia
    C. Hypercalcemia
    D. Hypermagnesemia
  11. When assessing arterial blood gas (ABG) results, what is the first step that the nurse should take bowelfor interpretation?
    A. Check for compensation
    B. Label the pH
    C. Determine
    D. e primary cause
    E. Determine oxygenation
  12. A 42-year-old client was recently diagnosed with gastric cancer. The nurse has a wife and three small children. The client and the wife are having a difficult time dealing with the recent diagnosis. Which of the following nursing intervention is appropriate for this client?
    A. Educate on treatment options
    B. Consult the dietician regarding nutritional needs
    C. Monitor lab values for abnormalities
    D. Consult social services to provide support to the client and family
  13. A nurse is caring for a 56-year-old client who presented to the emergency department with a feeling of fullness in the chest, dysphagia, and chest pain. The client states these symptoms for the past couple of months. Which of the following conditions could the client be exhibiting based on the symptoms?
    A. Peptic ulcer disease
    B. Gastritis
    C. Hiatal hernia
    D. Uvulitis
  14. A nurse is caring for a 56-year-old client who presented to the emergency department with a feeling of abdominal fullness and dysphagia. The client states reports a recent bloody emesis and long term ibuprofen use. Which of the following conditions could the client be exhibiting based on the symptoms?
    A. Peptic ulcer disease
    B. Gastritis
    C. Hiatal hernia
    D. Uvulitis
  15. The client’s arterial blood gas (ABG) results show an increase in pH greater than 7.45. Which conditions is most likely to contribute to this laboratory value?
    A. Renal failure
    B. Ketosis
    C. Hyperventilation
    D. Diarrhea
  16. What condition(s) does the nurse anticipate in a client with aspirin toxicity? ( select all thatapply)
    A. Respiratory acidosis
    B. Metabolic alkalosis
    C. Respiratory alkalosis
    D. Metabolic acidosis
    E. No acid-base imbalance
  17. A nurse is caring for a client who is status post an upper endoscopic procedure. Which ofthe following should be included as a priority in the post-procedure assessment?
    A. Fecal occult test
    B. Gag reflex
    C. Temperature
    D. Bowel sounds
  18. A client has the following arterial blood gas (ABG) results. How does the nurse interpretthese results?
    pH 7.50
    PaCO2 30 mm Hg
    HCO3 20mEq/L
    A. Metabolic acidosis with partial respiratory compensation
    B. Respiratory alkalosis with partial metabolic compensation
    C. Respiratory alkalosis with partial full metabolic compensation
    D. Metabolic alkalosis with partial respiratory compensation
  19. A nurse is caring for a type one diabetic client with metabolic acidosis. Which of the following symptoms would the nurse expect the client to exhibit?
    A. Hypertension
    B. Kussmaul respirations
    C. Hypoventilation
    D. Hyperreflexia
  20. Which of the following clients are at risk for developing stomatitis?
    A. A 48-year-old client diagnosed with osteoarthritis
    B. A 70-year-old client diagnosed with obesity
    C. A 55-year-old client with colon cancer
    D. A 50-year-old client diagnosed with heart failure
  21. The nurse is caring for a 50-year-old client admitted to the emergency department for a suspected upper gastrointestinal bleed. Which of the following clinical findings would support this diagnosed? (select all that apply)
    A. Bright red or coffee-ground vomitus
    B. Vertigo or dizziness
    C. Increased blood pressure
    D. Weak peripheral pulses
    E. Decreased hemoglobin and hematocrit values
  22. The nurse is caring for a client who recently underwent a colon resection. The client issecond-day post-op with a nasogastric tube to low intermittent wall suction. Which of the following conditions is this client at risk for?
    A. Metabolic acidosis
    B. Metabolic alkalosis
    C. Respiratory alkalosis
    D. Respiratory acidosis
  23. Which of the following is a standard diagnostic study for clients with upper gastrointestinaldisorders?
    A. Arterial blood gas
    B. Liver function test
    C. Barium enema
    D. Esophagogastroduodenoscopy
  24. When caring for a client suffering from metabolic acidosis, which of the following would thenurse anticipate as a treatment option?
    A. Ammonium chloride
    B. Acetazolamide
    C. Sodium bicarbonate
    D. Potassium

Sample Solution

Sample Answer

Compelling correspondence is essential to the achievement all things considered but since of the changing idea of the present working environments, successful correspondence turns out to be more troublesome, and because of the numerous impediments that will permit beneficiaries to acknowledge the plan of the sender It is restricted. Misguided judgments.In spite of the fact that correspondence inside the association is rarely completely open, numerous straightforward arrangements can be executed to advance the effect of these hindrances.

Concerning specific contextual analysis, two significant correspondence standards, correspondence channel determination and commotion are self-evident. This course presents the standards of correspondence, the act of general correspondence, and different speculations to all the more likely comprehend the correspondence exchanges experienced in regular daily existence. The standards and practices that you learn in this course give the premise to additionally learning and correspondence.

This course starts with an outline of the correspondence cycle, the method of reasoning and hypothesis. In resulting modules of the course, we will look at explicit use of relational connections in close to home and expert life. These incorporate relational correspondence, bunch correspondence and dynamic, authoritative correspondence in the work environment or relational correspondence. Rule of Business Communication In request to make correspondence viable, it is important to follow a few rules and standards. Seven of them are fundamental and applicable, and these are clear, finished, brief, obliging, right, thought to be, concrete. These standards are frequently called 7C for business correspondence. The subtleties of these correspondence standards are examined underneath: Politeness Principle: When conveying, we should build up a cordial relationship with every individual who sends data to us.

To be inviting and polite is indistinguishable, and politeness requires an insightful and amicable activity against others. Axioms are notable that gracious “pay of graciousness is the main thing to win everything”. Correspondence staff ought to consistently remember this. The accompanying standards may assist with improving courtesy:Preliminary considering correspondence with family All glad families have the mystery of progress. This achievement originates from a strong establishment of closeness and closeness. Indeed, through private correspondence these cozy family connections become all the more intently. Correspondence is the foundation of different affiliations, building solid partners of obedient devotion, improving family way of life, and assisting with accomplishing satisfaction (Gosche, p. 1). In any case, so as to keep up an amicable relationship, a few families experienced tumultuous encounters. Correspondence in the family is an intricate and alluring marvel. Correspondence between families isn’t restricted to single messages between families or verbal correspondence.

It is a unique cycle that oversees force, closeness and limits, cohesiveness and flexibility of route frameworks, and makes pictures, topics, stories, ceremonies, rules, jobs, making implications, making a feeling of family life An intelligent cycle that makes a model. This model has passed ages. Notwithstanding the view as a family and family automatic framework, one of the greatest exploration establishments in between family correspondence centers around a family correspondence model. Family correspondence model (FCP) hypothesis clarifies why families impart in their own specific manner dependent on one another ‘s psychological direction. Early FCP research established in media research is keen on how families handle broad communications data. Family correspondence was perceived as an exceptional scholastic exploration field by the National Communications Association in 1989. Family correspondence researchers were at first impacted by family research, social brain science, and relational hypothesis, before long built up the hypothesis and began research in a family framework zeroed in on a significant job. Until 2001, the primary issue of the Family Communication Research Journal, Family Communication Magazine, was given. Family correspondence is more than the field of correspondence analysts in the family. Examination on family correspondence is normally done by individuals in brain science, humanism, and family research, to give some examples models. However, as the popular family correspondence researcher Leslie Baxter stated, it is the focal point of this intelligent semantic creation measure making the grant of family correspondence special. In the field of in-home correspondence, correspondence is normally not founded on autonomous messages from one sender to one beneficiary, yet dependent on the dynamic interdependency of data shared among families It is conceptualized. The focal point of this methodology is on the shared trait of semantic development inside family frameworks. As such, producing doesn’t happen in vacuum, however it happens in a wide scope of ages and social exchange.

Standards are rules end up being followed when performing work to agree to a given objective. Hierarchical achievement relies significantly upon compelling correspondence. So as to successfully impart, it is important to follow a few standards and rules. Coming up next are rules to guarantee powerful correspondence: clearness: lucidity of data is a significant guideline of correspondence. For beneficiaries to know the message plainly, the messages ought to be sorted out in a basic language. To guarantee that beneficiaries can without much of a stretch comprehend the importance of the message, the sender needs to impart unmistakably and unhesitatingly so the beneficiary can plainly and unquestionably comprehend the data.>

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