EAQ-252

The nurse is caring for a client who is experiencing an underproduction of thyroxine (T4). This condition is associated with which diagnosis?

Myxedema

Which situation associated with the physiological finding of ketones in the blood and urine would be the nurse's focus when collecting additional data about a client?

Starvation

A client with esophageal varices experiences severe hematemesis, and a Sengstaken-Blakemore tube is inserted. Which design and purpose does the tube have?

Triple-lumen; for esophageal compression

A child with type 1 diabetes is admitted to the hospital with deep, rapid respirations; flushed, dry cheeks; abdominal pain with nausea; and increased thirst. Which laboratory findings are the nurse most likely to observe?

pH 7.25; glucose 460 mg/dL (25.5 mmol/L)

Which is the regulator of extracellular osmolarity?

Sodium

Which acid-base imbalance would the nurse anticipate in a client in the progressive stage of shock?

Metabolic acidosis

A client has a fractured mandible that is immobilized with wires. For which life-threatening postoperative problem would the nurse monitor the client?

Vomiting

Which nutrient causes elevated ketones in diabetic acidosis by incomplete oxidation?

Fats

Intravenous (IV) insulin is prescribed for a client in. Which insulin can be administered IV? Select all that apply. One, some, or all responses may be correct.

Lispro insulin Correct 2 Aspart insulin Correct 3 Regular insulin Correct 5 Glulisine insulin

The nurse is caring for a client with cirrhosis of the liver. The nurse anticipates a prescription for neomycin enemas based on which abnormal laboratory test?

Ammonia level

When the chest x-ray for a client who has arrived at the emergency department with chest trauma shows multiple fractured ribs, which action will the nurse take next?

Check for paradoxical movement of the chest wall.

The postanesthesia care unit (PACU) receives a client postabdominal surgery with a nasogastric tube with low-intermittent wall suction in place. Which initial action would the nurse implement when the client vomits 90 mL of bile-colored fluid?

Check the patency of the tube

Which signs and symptoms would the nurse include when teaching a client about ketoacidosis? Select all that apply. One, some, or all responses may be correct.

Confusion, Excessive thirst, Fruity Scented breath

Which mechanism of action explains how propylthiouracil (PTU) manages hyperthyroidism?

It decreases production of thyroid hormones.

The nurse prepares an intravenous (IV) solution of lactated Ringer solution to replace the T-tube output of a client who had a cholecystectomy and common bile duct exploration. Which condition will improve if the administration of lactated Ringer solution is effective?

Metabolic acidosis

Postoperative arterial blood gas values for a client in the postanesthesia care unit are pH 7.32, PaCO2 53 mm Hg (7.05 kPa), HCO3 25 mEq/L (25 mmol/L), and PaO2 85 mm Hg (11.3 kPa). Which action would the nurse take?

encourage coughing and deep breathing

The assessment of a newly admitted client reveals malnourishment, nausea, distension, and a firm abdomen with ascites. The client has tachycardia and is hypotensive. Which physiological change occurred that resulted in the client's development of ascites?

A decrease in plasma protein to maintain adequate capillary-tissue circulation

The nurse is caring for a client with emphysema. During assessment, the nurse expects to auscultate which type of breath sounds?

Diminished breath sounds

Which statements provided by the student nurse about neuromuscular manifestations of alkalosis with hypocalcemia indicate the need for further learning? Select all that apply. One, some, or all responses may be correct.

"The client would show signs of hyporeflexia." Correct 3 "The client would show signs of paresthesias."

Which pH value of amniotic fluid is indicated by a Nitrazine test strip that turns deep blue?

7.5

The laboratory data for a client with prolonged vomiting reveal arterial blood gases of pH 7.51, Pco2 of 45 mm Hg, HCO3 of 58 mEq/L (59 mmol/L), and a serum potassium level of 3.8 mEq/L (3.8 mmol/L). The nurse concludes that the findings support which diagnosis?

Metabolic alkalosis

A critically ill 5-year-old child exhibits Kussmaul respirations. Which would the nurse suspect may be causing an increasing acid-base imbalance?

Metabolic acidosis caused by a concentration of cations in body fluids

After an acute episode of upper gastrointestinal (GI) bleeding, a client vomits undigested antacids and reports having severe epigastric pain. The nursing assessment reveals an absence of bowel sounds, a pulse rate of 134, and shallow respirations of 32 per minute. In addition to calling the health care provider, what action should the nurse take?

Prepare the client for surgery.

Which statements by the student nurse are accurate about the manifestation of alkalosis in the central nervous system? Select all that apply. One, some, or all responses may be correct.The client's

The client's Trousseau sign would be positive." Correct 3 "The client would be suffering from paresthesias." Correct 4 "The client would show signs of anxiety and irritability."