mdc 2 exam 2
1. A patient is brought into the ED with respiratory depression. The patient has a
history of COPD. What acid-base imbalance is most likely <Ans> Respiratory
Acidosis. The patient likely has a build-up of CO2, causing respiratory acidosis.
2. The nurse is evaluating the lab work of a patient who has uncontrolled metabolic
acidosis. Which lab result would result from this condition <Ans> serum potassium 5.7
mEq/L
3. The nurse is reviewing the standing orders for a patient who was admitted for
evaluation of chest pain. The patient has a history of chronic obstructive pulmonary
disease (COPD) and his laboratory results and assessment reveal that he has mild
respiratory acidosis.The nurse would question which order?-
<Ans> Oxygen therapy at 4 L/min as needed
4. A client has acute alcohol intoxication. What acid-base imbalance is the client at
risk for <Ans> metabolic acidosis.
5. A client comes into the ED with respiratory acidosis. What type of medica- tion
would the nurse likely administer <Ans> bronchodilators
6. A client comes into the ED with a high fever and is hyperventilating. His ABG results
are pH 7.51, PaCO2 28 mm Hg, and HCO3 24 mEq/L. The nurse should identify that
the client has which acid-base imbalance <Ans> Respiratory Alkalosis
7. A nurse is caring for a client who has metabolic alkalosis. As the client com- pensates
for this acid-base imbalance, which of the following mechanisms should the nurse
expect the client's body to use <Ans> Hypoventilation
8. A nurse is inserting an NG tube for a client who is beginning enteral feedings.
What action should the nurse take to verify tube placement before administering
1/
12
, initial feeding <Ans> Verify tube placement with radiography
9. Which patient statement alerts the nurse to perform a thorough GI history and
focused assessment <Ans> "I take ibuprofen three times daily for arthritis."
10. After abdominal surgery, which question should the nurse ask the patient to
determine whether peristaltic movement is returning <Ans> "Have you passed
flatus?"
11. When administering a new GI medication to an older patient, the nurse
anticipates what <Ans> Close monitoring is needed because toxic levels may develop.
12. A patient in the ED has been experiencing upper abdominal pain after meals for
the past several months. She reports pain after napping or sleeping at night. She has
been taking OTC antacids with some relief. The nurse un- derstands that which
assessment finding places the patient at risk for peptic ulcer disease <Ans> Use of
NSAIDs to control arthritis pain
13. Which diagnostic results does the nurse recognize that support the diag- nosis of
peptic ulcer disease (PUD)? (Select all that apply.) <Ans> Low hemoglobin (Hgb)
2/
12
1. A patient is brought into the ED with respiratory depression. The patient has a
history of COPD. What acid-base imbalance is most likely <Ans> Respiratory
Acidosis. The patient likely has a build-up of CO2, causing respiratory acidosis.
2. The nurse is evaluating the lab work of a patient who has uncontrolled metabolic
acidosis. Which lab result would result from this condition <Ans> serum potassium 5.7
mEq/L
3. The nurse is reviewing the standing orders for a patient who was admitted for
evaluation of chest pain. The patient has a history of chronic obstructive pulmonary
disease (COPD) and his laboratory results and assessment reveal that he has mild
respiratory acidosis.The nurse would question which order?-
<Ans> Oxygen therapy at 4 L/min as needed
4. A client has acute alcohol intoxication. What acid-base imbalance is the client at
risk for <Ans> metabolic acidosis.
5. A client comes into the ED with respiratory acidosis. What type of medica- tion
would the nurse likely administer <Ans> bronchodilators
6. A client comes into the ED with a high fever and is hyperventilating. His ABG results
are pH 7.51, PaCO2 28 mm Hg, and HCO3 24 mEq/L. The nurse should identify that
the client has which acid-base imbalance <Ans> Respiratory Alkalosis
7. A nurse is caring for a client who has metabolic alkalosis. As the client com- pensates
for this acid-base imbalance, which of the following mechanisms should the nurse
expect the client's body to use <Ans> Hypoventilation
8. A nurse is inserting an NG tube for a client who is beginning enteral feedings.
What action should the nurse take to verify tube placement before administering
1/
12
, initial feeding <Ans> Verify tube placement with radiography
9. Which patient statement alerts the nurse to perform a thorough GI history and
focused assessment <Ans> "I take ibuprofen three times daily for arthritis."
10. After abdominal surgery, which question should the nurse ask the patient to
determine whether peristaltic movement is returning <Ans> "Have you passed
flatus?"
11. When administering a new GI medication to an older patient, the nurse
anticipates what <Ans> Close monitoring is needed because toxic levels may develop.
12. A patient in the ED has been experiencing upper abdominal pain after meals for
the past several months. She reports pain after napping or sleeping at night. She has
been taking OTC antacids with some relief. The nurse un- derstands that which
assessment finding places the patient at risk for peptic ulcer disease <Ans> Use of
NSAIDs to control arthritis pain
13. Which diagnostic results does the nurse recognize that support the diag- nosis of
peptic ulcer disease (PUD)? (Select all that apply.) <Ans> Low hemoglobin (Hgb)
2/
12
