10 Metabolic Acidosis (interpretation and nursing diagnosis) NCLEX Style Questions

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Question 1 of 10

The nurse caring for a client in metabolic acidosis notes that the client’s potassium is outside of the normal range. Which of the following scenarios is likely, and why?


Question 2 of 10

A nurse is working on a team responding to cardiac arrest in the hospital. Because the client’s heart stopped, his body has gone into a state of acidosis. Which of the following medications would most likely correct metabolic acidosis that occurs during cardiac arrest?


Question 3 of 10

A client asks the nurse what the provider meant by the statement, “you have anion gap acidosis”. Which of the following responses is correct?


Question 4 of 10

A client’s arterial blood gas results are as follows: pH 7.25, HCO3 14, PaCO2 29. Which of the following signs is consistent with this? Select all that apply.


Question 5 of 10

The nurse is caring for a client in shock. Which of the following would be included in the nursing care plan? Select all that apply.


Question 6 of 10

A client who is in kidney failure is hospitalized for management of symptoms. The provider has ordered an arterial blood gas, which demonstrates that the client is in a state of metabolic acidosis. What symptoms would the nurse most likely see in this case?


Question 7 of 10

The nurse is caring for a client with diabetes and notes that the client has fruity smelling breath. Upon checking the client’s blood glucose, the nurse discovers a glucose level of >500. Which of the following body systems does the nurse expect to compensate for this condition to help bring the client back into balance?


Question 8 of 10

The nurse is caring for a client in metabolic acidosis and knows that which of the following lab values are consistent with this condition? Select all that apply.


Question 9 of 10

The nurse is receiving new orders on a client with metabolic acidosis. Which of the following orders would the nurse question?


Question 10 of 10

A 45-year-old diabetic client has been brought in for care of diabetic ketoacidosis. The client’s blood glucose level is 367 mg/dL and blood pH is 7.28. Which of the following respiratory rates would the nurse most likely expect to see in this situation?