A patient who is lethargic and exhibits deep, rapid respirations has the following arterial blood gas (ABG) results: pH 7.32, PaO2 88 mm Hg, PaCO2 37 mm Hg, and HCO3 16 mEq/L. How should the nurse interpret these results?

a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis


ANS: A
The pH and HCO3 indicate that the patient has a metabolic acidosis. The ABGs are inconsistent with the other responses.

Nursing

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The nurse is attempting to obtain a sexual history on a patient who is being evaluated for a possible hysterectomy. The nurse should do which of the following?

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A client is administered trimethobenzamide hydrochloride (Tigan) to control nausea and vomiting. The nurse would assess the client for which of the following?

A) Acid rebound B) Neurotoxicity C) Blurred vision D) Bone softening

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After reviewing the various contraceptive options with a client, the client opts for the etonogestrel/ethinyl estradiol vaginal ring

After teaching the client about this choice, the nurse determines that the teaching was effective when the client states which of the following? A) "Once I insert the ring, it won't come out." B) "The ring should stay in place for 3 weeks." C) "When bleeding starts, that's the signal to change the ring." D) "I can reuse the ring several times before discarding it."

Nursing

An older patient describes having to go to the bathroom more frequently at night. What manifestation is this patient experiencing?

1. Fluid overload 2. Increased glycosuria 3. Normal changes of aging 4. Impairment of drug excretion

Nursing