NUR 101 NCLEX TEST TAKING STRATEGY EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2022

NUR 101 NCLEX TEST TAKING STRATEGY EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
 . The daytime charge nurse identifies that a client was treated for what

Progress Notes:

11/22/10- 0125 Restless, picking at sheets and pulling at IV tubing. Disoriented to place and
time. Dyspnea on exertion noted. Dr. Timmons notified. Stat ABGs ordered.-------
Mary Minee, RN

11/22/10- 0145 Oxygen started at 2 liters per nasal cannula. Incentive Spirometry and deep
breathing exercises initiated. Head of bed elevated to 30 degreesMary
Minee, RN




Lab reports: pH- 7.30
pO2- 91mmHg

pCO2- 50 mmHg

HCO3- 24 mEq/L



condition during the night after reading the following chart entries?


o 1. Respiratory Alkalosis

o 2. Respiratory Acidosis


o 3. Metabolic Alkalosis


o 4. Metabolic Acidosis




Rationale:

NUR 101 NCLEX TEST TAKING STRATEGY EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022

,NUR 101 NCLEX TEST TAKING STRATEGY EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
2. Correct: Look at pH? Acid and which other lab says acid….CO2. Is CO2 a
respiratory or metabolic chemical? Respiratory. So the condition is Respiratory
Acidosis.

1. Incorrect: Not alkalotic condition, the pH is acid.

3. Incorrect: Not metabolic condition, because HCO3 is normal.

4. Incorrect: Not metabolic condition, because HCO3 is normal.




NUR 101 NCLEX TEST TAKING STRATEGY EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022

,NUR 101 NCLEX TEST TAKING STRATEGY EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
 The nurse is caring for a client, who is 8 hours post- op receiving 40%
humidified oxygen. ABG results are: pO2= 91, pCO2= 50, pH= 7.30, HCO3= 24.
Based on this information, which nursing action would be best?

o 1. Turn client and encourage coughing and deep breathing.

o 2. Request respiratory therapy to perform postural drainage and percussion.

o 3. Report ABGs to physician and increase oxygen percentage.

o 4. Administer anti-anxiety agent.




Rationale:

1. Correct: If you are 8 hours post-op would you be taking nice deep breaths? No.

So what would you be retaining? CO2 which makes your pCO2 go up, which makes
your pH go down. I’m acidotic aren’t I?

2. Incorrect: Requesting postural drainage and percussion form respiratory therapy

would not be the best nursing action to address the problem of retaining CO2.

3. Incorrect: There’s nothing wrong with calling the physician and letting him

know about the ABGs but the last part is just wrong. How is oxygen going to
help this client? It’s not until they get rid of the what? CO2. And the only way to
rid of the CO2 is coughing and deep breathing.

4. Incorrect: What are they going to say about you if you select #4? You’re a

killer. Don’t give her a license, because if you give them an anti-anxiety agent
NUR 101 NCLEX TEST TAKING STRATEGY EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022

, NUR 101 NCLEX TEST TAKING STRATEGY EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
what’s going to happen to the respiratory rate, decrease, and they are going to
retain even more CO2 and you’ve just made it worse.




NUR 101 NCLEX TEST TAKING STRATEGY EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022