NCLEX-PN

Explanation: The client who is at greatest risk for the development of cancer is the 76-year-old female client who has a history of alcohol abuse. Data indicates that alcohol abuse can lead to cancer of the liver and other cancers. Diabetes, a history of impaired oxygen transport, and hypotension are risk factors associated with poor tissue perfusion, not cancer. (See Assessing Cancer Risk Factors ) 7.​ Which of the following values would you report to the client’s physician because it’s NOT within normal parameters, and it is also a significant change for the client?

A.​ PaO 2 : 65 mm Hg B.​ PaCO 2 : 40 mm Hg C.​ Arterial blood pH: 7.39 D.​ SaO 2 : 96%

Correct Response : A Explanation : You would report the client’s PaO 2 of 65 mm Hg because it is not within normal parameters and it is also a significant change for the client. The normal partial pressure of oxygen (PaO 2 ) is from 75 to 100 mm Hg. The other values above are within normal limits, as follows: ●​ Partial pressure of carbon dioxide (PaCO2): 35 - 45 mmHg ●​ Arterial blood pH: 7.35 - 7.45 ●​ Oxygen saturation (SaO 2 ): 94 - 100% (See Comprehensive Understanding of Laboratory Values ) 8.​ Select the step of blood glucose level monitoring that is NOT accurate.

A.​ Turn the finger down so the blood will drop with gravity B.​ Wipe off the first drop of blood using sterile gauze

C.​ Prick the side of the finger using the lancet D.​ Prick the pad of the finger using the lancet Correct Response : D

Explanation : Pricking the pad of the finger using the lancet is NOT a step in the procedure for obtaining a blood glucose sample for testing. Instead, the side of the finger is pricked with the lancet. The procedure for checking the client’s blood glucose levels in the correct sequential order is as follows: ●​ Verify and confirm that the code strip corresponds to the meter code. ●​ Disinfect the client’s finger with an alcohol swab. ●​ Prick the side of the finger using the lancet. ●​ Turn the finger down so the blood will drop with gravity. ●​ Wipe off the first drop of blood using sterile gauze. ●​ Collect the next drop on the test strip. ●​ Hold the gauze on the client’s finger after the specimen has been obtained. ●​ Read the client’s blood glucose level on the monitor. (See Blood Glucose Monitoring )

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