ATI ADULT MEDICAL SURGICAL ASSESSMENT 2

ATI 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. Metabolicalkalosi s 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 Question 5 of 50 A nurse is developing a plan of care for a client who will be placed in halo traction following surgical repair of the cervical spine. Which of the following intervention should he nurse include in the plan?