Practice Question
A nurse is collecting data from a client who reports persistent vomiting, dizziness, palpitations, and numbness and tingling in his fingers and toes and around his mouth. The nurse notes the client's respirations are slow and shallow. The nurse should suspect that the client has developed which of the following acid-base imbalances?
Answer Choices:
Correct Answer:
Metabolic alkalosis
Rationale:
🫁 Persistent vomiting leads to the loss of hydrogen ions and stomach acid, resulting in metabolic alkalosis.
🫁 Symptoms like tingling in the fingers, dizziness, and slow, shallow respirations indicate compensatory hypoventilation.
🫁 Clients with alkalosis often present with numbness around the mouth, which aligns with the client’s symptoms.
🫁 The body attempts to retain CO₂ to correct the alkaline state by reducing respiratory rate.
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This question is from ATI LPN Medsurg Exam-2024 which contains 52 questions.
More Questions from This Exam
A nurse is caring for a client in the emergency department (ED) who has high anxiety and shallow respirations at a rate of 30/min. Which of the following acid-base disturbances is the client most likely experiencing?
Answer Choices:
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis
A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax?
Answer Choices:
A. Absence of breath sounds
B. Coarse crackles
C. Inspiratory stridor
D. Expiratory wheeze
A nurse is collecting data from a client who has a respiratory disorder and displays manifestations of hypoxia. Which of the following findings should the nurse expect?
Answer Choices:
A. Bradypnea
B. Cyanosis
C. Pallor
D. Bradycardia
A nurse is assisting with weaning a client from the ventilator. Which of the following parts of the ABCDEF assessment tool does the weaning process represent?
Answer Choices:
A. Choice of Analgesia and Sedation
B. Assess, Prevent, and Manage Pain
C. Delirium: Assess, Prevent, and Manage
D. Breathing: Spontaneous Awakening Trials (SAT) and Spontaneous Breathing Trials (SBT)
Which of the following best describes the primary physiological role of B-type natriuretic peptide (BNP) in the regulation of cardiovascular function?
Answer Choices:
A. BNP promotes the synthesis of angiotensin II to enhance fluid retention and increase blood pressure.
B. BNP increases heart rate and cardiac contractility to enhance cardiac output.
C. BNP increases blood pressure by causing vasoconstriction and stimulating aldosterone release.
D. BNP decreases blood pressure by causing vasodilation and promoting sodium and water excretion.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4