PRACTICE QUESTIONS Acid Base.docx - Acid Base PRACTICE QUESTIONS 1.A client with a 3-day history of nausea and vomiting presents to the emergency

PRACTICE QUESTIONS Acid Base.docx - Acid Base PRACTICE...

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Acid Base PRACTICE QUESTIONS 1.A client with a 3-day history of nausea and vomiting presents to the emergency department. The client is hypoventilating and has a respiratory rate of 6 breaths/min. The electrocardiogram (ECG) monitor displays tachycardia, with a heart rate of 120 beats/min. Arterial blood gases are drawn and the nurse reviews the results, expecting to note which of the following? 1.A decreased pH and an increased CO 2 2.An increased pH and a decreased CO 2 3.A decreased pH and a decreased HCO 3 4.An increased pH with an increased HCO 3 2.A client who is found unresponsive has arterial blood gases drawn and the results indicate the following: pH is 7.12, Pco 2 is 90 mm Hg, and HCO 3 is 22 mEq/L. The nurse interprets the results as indicating which condition? 1.Metabolic acidosis with compensation 2.Respiratory acidosis with compensation 3.Metabolic acidosis without compensation 4.Respiratory acidosis without compensation 3.A nurse plans care for a client with chronic obstructive pulmonary disease, knowing that the client is most likely to experience what type of acid-base imbalance? 1.Metabolic acidosis 2.Metabolic alkalosis 3.Respiratory acidosis 4.Respiratory alkalosis 4.A nurse reviews the blood gas results of a client with Guillain-Barré syndrome. The nurse analyzes the results and determines that the client is experiencing respiratory acidosis. Which of the following validates the nurse's findings? 1.pH 7.25, Pco 2 50 mm Hg 2.pH 7.35, Pco 2 40 mm Hg 3.pH 7.50, Pco 2 52 mm Hg 4.pH 7.52, Pco 2 28 mm Hg 5.A nurse is caring for a client who is on a mechanical ventilator. Blood gas results indicate a pH of 7.50 and a Pco 2 of 30 mm Hg. The nurse has determined that the client is experiencing respiratory alkalosis. Which laboratory value would most likely be noted in this condition?
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1.Sodium level of 145 mEq/L 2.Potassium level of 3.0 mEq/L 3.Magnesium level of 2.0 mg/dL 4.Phosphorus level of 4.0 mg/dL 6.A nurse reviews the arterial blood gas results of a client and notes the following: pH 7.45, Pco 2 of 30 mm Hg, and HCO 3 of 22 mEq/L. The nurse analyzes these results as indicating which condition? 1.Metabolic acidosis, compensated 2.Respiratory alkalosis, compensated 3.Metabolic alkalosis, uncompensated 4.Respiratory acidosis, uncompensated 7.A client is scheduled for blood to be drawn from the radial artery for an arterial blood gas determination. Before the blood is drawn, an Allen's test is performed to determine the adequacy of the: 1.Ulnar circulation 2.Carotid circulation 3.Femoral circulation 4.Popliteal circulation 8.A nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client, knowing that the client is at risk for which acid-base disorder?
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  • Spring '18

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