Saunders: Acid-Base (37 Questions) 1.The nurse observes that a client with diabetic ketoacidosis is experiencing abnormally deep, regular, rapid respirations. How should the nurse correctly document this observation in the medical record? •Kussmaul's respirations 2.The nurse is monitoring a group of clients for acid-base imbalances. Which clients are at highest risk for metabolic acidosis? Select all that apply. •Client with pancreatitis •Malnourished Client •Client with diabetes mellitus •Client with status epilepticus •Client with severe prolonged diarrhea 3.A client presents to the emergency department with lethargy; deep, regular respirations; and a fruity odor to the breath. The client's arterial blood gas (ABG) results are pH of 7.25, Pco2of 34 mm Hg, Po2of 86 mm Hg, and HCO3-of 14 mEq/L. The nurse interprets that the client has which acid-base disturbance? •Metabolic acidosis 4.A client is in respiratory alkalosis induced by gram-negative sepsis. The nurse assists in implementing which measure as the effective means to treat the problem? •Administer prescribed antibiotics.5.The nurse is caring for a client with severe diarrhea. The nurse monitors the client closely, understanding that this client is at risk for developing which acid–base disorder? •Metabolic Acidosis 6.The nurse is assisting to admit a client with a diagnosis of acute Guillain-Barré syndrome. The nurse knows that if the disease progresses to a severe level, the client will be at risk for which acid-base imbalance? •Respiratory Acidosis
2 7.The nurse is caring for a client with kidney failure. The nurse is told that the blood gas results indicate a pH of 7.30 and a HCO3–of 20 mm Hg, and that the client is experiencing metabolic acidosis. The nurse reviews the laboratory results and finds which value to be of concern? •Potassium Level, 5.6 mEq/L 8.A client's arterial blood gases reveal a pH of 7.51 and a bicarbonate level of 31 mEq/L. The nurse prepares for the administration of which medication that should be prescribed to treat this acid-base disorder?