Free NCLEX-RN Exam Braindumps (page: 148)

Page 148 of 431

A primigravida is at term. The nurse can recognize the second stage of labor by the client's desire to:

  1. Push during contractions
  2. Hyperventilate during contractions
  3. Walk between contractions
  4. Relax during contractions

Answer(s): A

Explanation:

(A) The second stage of labor is characterized by uterine contractions, which cause the client to bear down. (B) Slow, deep, rhythmic breathing facilitates the laboring process. Hyperventilation is abnormal breathing resulting from loss of pain control. (C) The client should remain on bed rest during labor. (D) Contractions result in discomfort.



A primigravida is at term. The nurse can recognize the second stage of labor by the client's desire to:

  1. Push during contractions
  2. Hyperventilate during contractions
  3. Walk between contractions
  4. Relax during contractions

Answer(s): A

Explanation:

(A) The second stage of labor is characterized by uterine contractions, which cause the client to bear down. (B) Slow, deep, rhythmic breathing facilitates the laboring process. Hyperventilation is abnormal breathing resulting from loss of pain control. (C) The client should remain on bed rest during labor. (D) Contractions result in discomfort.



A 35-year-old client is admitted to the hospital with diabetic ketoacidosis. Results of arterial blood gases are pH 7.2, PaO2 90, PaCO2 45, and HCO3 16. The nursing assessment of arterial blood gases indicate the presence of:

  1. Respiratory alkalosis
  2. Respiratory acidosis
  3. Metabolic alkalosis
  4. Metabolic acidosis

Answer(s): D

Explanation:

(A) Respiratory alkalosis is determined by elevated pH and low PaCO2. (B) Respiratory acidosis is determined by low pH and elevated PaCO2. (C) Metabolic alkalosis is determined by elevated pH and HCO3.(D) Metabolic acidosis is determined by low pH and HCO3.



A 35-year-old client is admitted to the hospital with diabetic ketoacidosis. Results of arterial blood gases are pH 7.2, PaO2 90, PaCO2 45, and HCO3 16. The nursing assessment of arterial blood gases indicate the presence of:

  1. Respiratory alkalosis
  2. Respiratory acidosis
  3. Metabolic alkalosis
  4. Metabolic acidosis

Answer(s): D

Explanation:

(A) Respiratory alkalosis is determined by elevated pH and low PaCO2. (B) Respiratory acidosis is determined by low pH and elevated PaCO2. (C) Metabolic alkalosis is determined by elevated pH and HCO3.(D) Metabolic acidosis is determined by low pH and HCO3.



Page 148 of 431



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