12 - Chapter 12 Assessment and Care of Patients with...

  • anibitanga
  • 9
  • 100% (71) 71 out of 71 people found this document helpful

Info icon This preview shows pages 1–3. Sign up to view the full content.

Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances Ignatavicius: Medical-Surgical Nursing, 8th Edition MULTIPLE CHOICE 1. A nurse assesses a client with diabetes mellitus who is admitted with an acid-base imbalance. The client’s arterial blood gas values are pH 7.36, PaO 2 98 mm Hg, PaCO 2 33 mm Hg, and HCO 3 18 mEq/L. Which manifestation should the nurse identify as an example of the client’s compensation mechanism? a. Increased rate and depth of respirations b. Increased urinary output c. Increased thirst and hunger d. Increased release of acids from the kidneys ANS: A This client has metabolic acidosis. The respiratory system compensates by increasing its activity and blowing off excess carbon dioxide. Increased urinary output, thirst, and hunger are manifestations of hyperglycemia but are not compensatory mechanisms for acid-base imbalances. The kidneys do not release acids. DIF: Applying/Application REF: 181 KEY: Acid-base imbalance| laboratory values MSC: Integrated Process: Nursing Process: Assessment NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation 2. A nurse assesses a client who is experiencing an acid-base imbalance. The client’s arterial blood gas values are pH 7.34, PaO 2 88 mm Hg, PaCO 2 38 mm Hg, and HCO 3 19 mEq/L. Which assessment should the nurse perform first? DIF: Applying/Application REF: 181 KEY: Acid-base imbalance MSC: Integrated Process: Nursing Process: Assessment NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care 3. A nurse assesses a client who is prescribed furosemide (Lasix) for hypertension. For which acid-base imbalance should the nurse assess to prevent complications of this therapy?
Image of page 1

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

DIF: Applying/Application REF: 184 KEY: Acid-base imbalance| diuretics MSC: Integrated Process: Nursing Process: Assessment NOT: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
Image of page 2
Image of page 3
This is the end of the preview. Sign up to access the rest of the document.
  • Winter '16
  • Bicarbonate, Arterial blood gas

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern