July 02 -NCLEX Daily Practice Questions

The nurse is providing nutritional teaching for a client with a new ileostomy. Which foods should the nurse instruct the client to avoid? Select all that apply.

1. Bananas
2. Broccoli with cheese
3. Multigrain bagel
4. Popcorn
5. Spaghetti with sauce
 
An ileostomy is a surgically created opening (stoma) in the abdominal wall that connects the small intestine to the external abdomen. Stool from the small intestine bypasses the colon and exits through the ileostomy. Functions of the colon (eg, fluid and electrolyte absorption, vitamin K production) do not occur, resulting in liquid stool that drains into an external ostomy appliance attached to the skin. In the immediate postoperative period of an ileostomy, a low-residue diet (low-fiber) is prescribed to prevent obstruction of the narrow lumen of the small intestine and stoma (1-in [2.54-cm] diameter or less). After the ileostomy heals, the client reintroduces fibrous foods one at a time. The client is instructed to thoroughly chew food and monitor for changes in stool output. Foods to be avoided include: High fiber: popcorn, coconut, brown rice, multigrain bread (Options 3 and 4) Stringy vegetables: celery, broccoli, asparagus (Option 2) Seeds or pits: strawberries, raspberries, olives Edible peels: apple slices, cucumber, dried fruit (Option 1) After an ileostomy, a client may consume fruits and vegetables that are pitted, peeled, and/or cooked (eg, peaches, bananas, potatoes). (Option 5) Low-fiber carbohydrate options include white rice, refined grains, and pasta

 

NCLEX Daily Practice Questions
July 02 -NCLEX Daily Practice Questions
July 02 -NCLEX Daily Practice Questions

 

WhatsApp Group Join Now
Telegram Group Join Now
Instagram Group Join Now
0 votes, 0 avg
0

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

2 / 50

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

3 / 50

Which patient condition would most likely cause metabolic alkalosis?

4 / 50

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

5 / 50

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

6 / 50

Which of the following ABG results would indicate metabolic acidosis?

7 / 50

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

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

10 / 50

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

11 / 50

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

12 / 50

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

13 / 50

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

14 / 50

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

15 / 50

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

16 / 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?

17 / 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?

18 / 50

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

19 / 50

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

20 / 50

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

21 / 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?

22 / 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?

23 / 50

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

24 / 50

What is a common cause of metabolic acidosis?

25 / 50

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

26 / 50

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

27 / 50

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

28 / 50

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

29 / 50

Which of the following can lead to metabolic alkalosis?

30 / 50

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

31 / 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?

32 / 50

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

33 / 50

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

34 / 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?

35 / 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?

36 / 50

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

37 / 50

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

38 / 50

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

39 / 50

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

40 / 50

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

41 / 50

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

42 / 50

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

43 / 50

A patient with chronic respiratory acidosis may develop:

44 / 50

What is the normal range for arterial blood pH?

45 / 50

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

46 / 50

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

47 / 50

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

48 / 50

Which of the following ABG values would indicate respiratory alkalosis?

49 / 50

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

50 / 50

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

Your score is

The average score is 0%

0%