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Aug. 19 NCLEX Daily Practice Question

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Aug. 19 NCLEX Daily Practice Questions

The nurse provides instructions to a client discharged on warfarin, after being treated for a pulmonary embolism (PE) following surgery. Which statements made by the client indicate the need for further teaching? Select all that apply. apply.






 

Explanation:

Manifestations of septic shock include:

  • Clients discharged on warfarin (Coumadin) are taught interventions to prevent injury, such as removing scatter rugs in the home to reduce the risk of tripping and falling (especially in elderly) (Option 2).
  • Clients are educated to avoid aspirin, drugs containing aspirin, nonsteroidal anti- inflammatory drugs (NSAIDs), and alcohol when taking warfarin due to an increased risk for bleeding (Option 3).
  • (Option 1) Warfarin is usually administered for 3-6 months following PE to prevent further thrombus formation. A longer duration (lifelong) of anticoagulation is recommended in clients with recurrent PE. Prothrombin time and INR must be monitored regularly to adjust the dose and maintain a therapeutic anticoagulant level.
  • (Option 4) Clients should be taught to avoid trauma or injury to decrease the risk for bleeding. Preventive measures include gently brushing teeth with a soft-bristled toothbrush, avoiding use of alcohol-based mouthwash, avoiding contact sports or rollerblading, and using a straight razor. Flossing should also be avoided in general, but waxed dental floss may be used with care in some clients.
  • (Option 5) Clients are instructed to wear a MedicAlert tag (eg, necklace, bracelet) when taking anticoagulants (eg, warfarin, heparin).

 

Educational objective:

Clients on warfarin or heparin should avoid using aspirin or nonsteroidal anti-inflammatory drugs, wear a MedicAlert device, avoid activities that increase the risk for bleeding, and limit alcohol intake.

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Aug. 19 NCLEX Daily Practice Questions

 

Aug. 19 NCLEX Daily Practice Questions

Aug. 19 NCLEX Daily Practice Questions

Aug. 19 NCLEX Daily Practice Questions

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ABG Analysis

ABG Analysis

Mastering ABG analysis is essential for nursing practice and success on the NCLEX. Each question in this set emphasizes key concepts, including the identification of acid-base imbalances, physiological responses, and their implications for patient care. A strong grasp of these principles will enhance your ability to assess and respond effectively to patients' needs in various clinical situations.

The number of attempts remaining is 5

1 / 50

A patient with severe dehydration would likely exhibit which of the following ABG results?

2 / 50

ABG results show: pH 7.45, PaCO2 35 mmHg, HCO3- 21 mEq/L. What is the interpretation?

3 / 50

A patient presents with confusion and fatigue. Their ABG results show: pH 7.28, PaCO2 58 mmHg, HCO3- 22 mEq/L. What condition do these findings suggest?

4 / 50

A patient with chronic respiratory acidosis may develop:

5 / 50

A nurse notices a patient has rapid, shallow breathing. The patient’s ABG shows: pH 7.45, PaCO2 30 mmHg, HCO3- 22 mEq/L. What is the likely diagnosis?

6 / 50

A patient presents with tachycardia and muscle cramps. ABG analysis shows: pH 7.50, PaCO2 38 mmHg, HCO3- 30 mEq/L. What should the nurse assess for?

7 / 50

If a patient is experiencing metabolic acidosis, what would you expect the respiratory compensation to be?

8 / 50

A patient with diabetic ketoacidosis has the following ABG results: pH 7.25, PaCO2 30 mmHg, HCO3- 15 mEq/L. What is the primary acid-base imbalance?

9 / 50

A patient with renal failure shows ABG results of pH 7.25, PaCO2 40 mmHg, HCO3- 16 mEq/L. This indicates:

10 / 50

A patient with diabetes presents with a fruity odor on their breath. ABG results show: pH 7.25, PaCO2 40 mmHg, HCO3- 15 mEq/L. What condition is this indicative of?

11 / 50

A patient presents with tachypnea and lightheadedness. Which ABG finding would be expected?

12 / 50

A patient is experiencing respiratory distress and has an ABG result of pH 7.32, PaCO2 52 mmHg, HCO3- 24 mEq/L. What does this indicate?

13 / 50

What is a common cause of metabolic acidosis?

14 / 50

A patient with renal failure presents with ABG results: pH 7.32, PaCO2 42 mmHg, HCO3- 16 mEq/L. What does this indicate?

15 / 50

If a patient’s ABG shows a pH of 7.28, what should the nurse suspect?

16 / 50

A patient’s ABG shows: pH 7.45, PaCO2 48 mmHg, HCO3- 36 mEq/L. What condition does this most likely indicate?

17 / 50

A patient’s ABG indicates a pH of 7.50, what should the nurse suspect?

18 / 50

A patient in renal failure presents with pH 7.30 and HCO3- 15 mEq/L. What is the expected respiratory response?

19 / 50

A patient with chronic kidney disease shows signs of acidosis. What ABG change would be expected?

20 / 50

If a patient is experiencing metabolic alkalosis, which ABG result might be expected?

21 / 50

What is the normal range for arterial blood pH?

22 / 50

A patient with a history of excessive alcohol consumption presents with ABG results: pH 7.30, PaCO2 40 mmHg, HCO3- 15 mEq/L. What is the likely diagnosis?

23 / 50

The nurse is caring for a patient with COPD. Which ABG result would indicate respiratory acidosis?

24 / 50

In which condition would you expect to see a decreased HCO3- level?

25 / 50

In a patient with a suspected pulmonary embolism, what ABG changes might you expect?

26 / 50

In a patient with respiratory acidosis, what is the expected change in the kidneys?

27 / 50

A patient has a pH of 7.39, PaCO2 of 52 mmHg, and HCO3- of 28 mEq/L. This patient is likely experiencing:

28 / 50

A patient has a pH of 7.39, PaCO2 of 52 mmHg, and HCO3- of 28 mEq/L. This patient is likely experiencing:

29 / 50

Which patient condition would most likely cause metabolic alkalosis?

30 / 50

A patient with chronic kidney disease has a pH of 7.35 and HCO3- of 18 mEq/L. What is the likely diagnosis?

31 / 50

ABG results show: pH 7.48, PaCO2 42 mmHg, HCO3- 30 mEq/L. What does this indicate?

32 / 50

A nurse reviews an ABG report: pH 7.35, PaCO2 55 mmHg, HCO3- 22 mEq/L. Which nursing diagnosis is appropriate?

33 / 50

A patient with an acute asthma attack is likely to have which of the following ABG results?

34 / 50

A patient has a pH of 7.30, PaCO2 30 mmHg, HCO3- 18 mEq/L. What is the most likely diagnosis?

35 / 50

ABG results show: pH 7.47, PaCO2 38 mmHg, HCO3- 29 mEq/L. The nurse should assess for which of the following?

36 / 50

Which of the following ABG values would indicate respiratory alkalosis?

37 / 50

Which of the following scenarios would likely lead to respiratory alkalosis?

38 / 50

ABG results show: pH 7.40, PaCO2 32 mmHg, HCO3- 19 mEq/L. Which acid-base balance does this indicate?

39 / 50

Which of the following ABG results would indicate metabolic acidosis?

40 / 50

ABG results show: pH 7.38, PaCO2 48 mmHg, HCO3- 26 mEq/L. This indicates which type of compensation?

41 / 50

A patient is hypoventilating after a drug overdose. What would their ABG likely show?

42 / 50

Which of the following can lead to metabolic alkalosis?

43 / 50

A patient presents with confusion and lethargy. ABG analysis reveals pH 7.34, PaCO2 55 mmHg, HCO3- 26 mEq/L. Which of the following interventions is the priority?

44 / 50

A nurse is reviewing ABG results: pH 7.35, PaCO2 50 mmHg, HCO3- 25 mEq/L. Which condition is most likely?

45 / 50

A patient has the following ABG results: pH 7.30, PaCO2 50 mmHg, HCO3- 24 mEq/L. What is the primary acid-base disturbance?

46 / 50

A patient is hyperventilating due to anxiety. What would you expect their ABG results to show?

47 / 50

A patient with a history of COPD is experiencing respiratory acidosis. Which intervention is most appropriate?

48 / 50

A nurse is assessing a patient with potential metabolic acidosis. Which sign would be most indicative?

49 / 50

A patient presents with a high HCO3- level and a pH of 7.50. What could this indicate?

50 / 50

The nurse is interpreting ABG results: pH 7.50, PaCO2 30 mmHg, HCO3- 24 mEq/L. What condition is indicated?

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