A nurse assesses a client who is experiencing an acid-base imbalance.The client's arterial blood gas values are pH 7.32,PaO2 94 mm Hg,PaCO2 34 mm Hg,and HCO3- 18 mEq/L.For which clinical manifestations should the nurse assess? (Select all that apply.)

A) Reduced deep tendon reflexes B) Drowsiness C) Increased respiratory rate D) Decreased urinary output E) Positive Trousseau's sign A) Reduced deep tendon reflexes B) Drowsiness C) Increased respiratory rate D) Decreased urinary output E) Positive Trousseau's sign A,B,C

A nurse is caring for a client who is experiencing excessive diarrhea.The client's arterial blood gas values are pH 7.28,PaO2 98 mm Hg,PaCO2 45 mm Hg,and HCO3- 16 mEq/L.Which provider order should the nurse expect to receive?

A) Furosemide (Lasix) 40 mg intravenous push B) Sodium bicarbonate 100 mEq diluted in 1 L of D5W C) Mechanical ventilation D) Indwelling urinary catheter A) Furosemide (Lasix) 40 mg intravenous push B) Sodium bicarbonate 100 mEq diluted in 1 L of D5W C) Mechanical ventilation D) Indwelling urinary catheter B

A nurse assesses a client who is experiencing an acid-base imbalance.The client's arterial blood gas values are pH 7.34,PaO2 88 mm Hg,PaCO2 38 mm Hg,and HCO3- 19 mEq/L.Which assessment should the nurse perform first?

A) Cardiac rate and rhythm B) Skin and mucous membranes C) Musculoskeletal strength D) Level of orientation A) Cardiac rate and rhythm B) Skin and mucous membranes C) Musculoskeletal strength D) Level of orientation

A nurse is planning care for a client who is anxious and irritable.The client's arterial blood gas values are pH 7.30,PaO2 96 mm Hg,PaCO2 43 mm Hg,and HCO3- 19 mEq/L.Which questions should the nurse ask the client and spouse when developing the plan of care? (Select all that apply.)

A) "Are you taking any antacid medications?" B) "Is your spouse's current behavior typical?" C) "Do you drink any alcoholic beverages?" D) "Have you been experiencing any vomiting?" E) "Are you experiencing any shortness of breath?" A) "Are you taking any antacid medications?" B) "Is your spouse's current behavior typical?" C) "Do you drink any alcoholic beverages?" D) "Have you been experiencing any vomiting?" E) "Are you experiencing any shortness of breath?"

A nurse is planning care for a client who is hyperventilating.The client's arterial blood gas values are pH 7.30,PaO2 94 mm Hg,PaCO2 31 mm Hg,and HCO3- 26 mEq/L.Which question should the nurse ask when developing this client's plan of care?

A) "Do you take any over-the-counter medications?" B) "You appear anxious.What is causing your distress?" C) "Do you have a history of anxiety attacks?" D) "You are breathing fast.Is this causing you to feel light-headed? A) "Do you take any over-the-counter medications?" B) "You appear anxious.What is causing your distress?" C) "Do you have a history of anxiety attacks?" D) "You are breathing fast.Is this causing you to feel light-headed?

A nurse evaluates a client's arterial blood gas values (ABGs): pH 7.30,PaO2 86 mm Hg,PaCO2 55 mm Hg,and HCO3- 22 mEq/L.Which intervention should the nurse implement first?

A) Assess the airway. B) Administer prescribed bronchodilators. C) Provide oxygen. D) Administer prescribed mucolytics. A) Assess the airway. B) Administer prescribed bronchodilators. C) Provide oxygen. D) Administer prescribed mucolytics.

A nurse is caring for a client who has the following arterial blood values: pH 7.12,PaO2 56 mm Hg,PaCO2 65 mm Hg,and HCO3- 22 mEq/L.Which clinical situation should the nurse correlate with these values?

A) Diabetic ketoacidosis in a person with emphysema B) Bronchial obstruction related to aspiration of a hot dog C) Anxiety-induced hyperventilation in an adolescent D) Diarrhea for 36 hours in an older, frail woman A) Diabetic ketoacidosis in a person with emphysema B) Bronchial obstruction related to aspiration of a hot dog C) Anxiety-induced hyperventilation in an adolescent D) Diarrhea for 36 hours in an older, frail woman

A nurse evaluates the following arterial blood gas values in a client: pH 7.48,PaO2 98 mm Hg,PaCO2 28 mm Hg,and HCO3- 22 mEq/L.Which client condition should the nurse correlate with these results?

A) Diarrhea and vomiting for 36 hours B) Anxiety-induced hyperventilation C) Chronic obstructive pulmonary disease (COP D) D) Diabetic ketoacidosis and emphysema A) Diarrhea and vomiting for 36 hours B) Anxiety-induced hyperventilation C) Chronic obstructive pulmonary disease (COP D) D) Diabetic ketoacidosis and emphysema

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,PaO2 98 mm Hg,PaCO2 33 mm Hg,and HCO3- 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 A) Increased rate and depth of respirations B) Increased urinary output C) Increased thirst and hunger D) Increased release of acids from the kidneys

A nurse assesses a client who is admitted with an acid-base imbalance.The client's arterial blood gas values are pH 7.32,PaO2 85 mm Hg,PaCO2 34 mm Hg,and HCO3- 16 mEq/L.What action should the nurse take next?

A) Assess client's rate, rhythm, and depth of respiration. B) Measure the client's pulse and blood pressure. C) Document the findings and continue to monitor. D) Notify the physician as soon as possible. A) Assess client's rate, rhythm, and depth of respiration. B) Measure the client's pulse and blood pressure. C) Document the findings and continue to monitor. D) Notify the physician as soon as possible.

Exam 12: Assessment and Care of Patients with Acid-Base Imbalances

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A nurse assesses a client who is experiencing an acid-base imbalance.The client's arterial blood gas values are pH 7.32,PaO₂ 94 mm Hg,PaCO₂ 34 mm Hg,and HCO₃- 18 mEq/L.For which clinical manifestations should the nurse assess? (Select all that apply.)

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Question 1

Correct Answer:

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A,B,C

A nurse is caring for a client who is experiencing excessive diarrhea.The client's arterial blood gas values are pH 7.28,PaO₂ 98 mm Hg,PaCO₂ 45 mm Hg,and HCO₃- 16 mEq/L.Which provider order should the nurse expect to receive?

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(Multiple Choice)

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Question 2

Correct Answer:

Verified

A nurse assesses a client who is receiving total parenteral nutrition.For which adverse effects related to an acid-base imbalance should the nurse assess? (Select all that apply.)

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(Multiple Choice)

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Question 17

A nurse is caring for a client who has chronic emphysema and is receiving oxygen therapy at 6 L/min via nasal cannula.The following clinical data are available: Which action should the nurse take first?

(Multiple Choice)

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Question 18

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,PaO₂ 98 mm Hg,PaCO₂ 33 mm Hg,and HCO₃- 18 mEq/L.Which manifestation should the nurse identify as an example of the client's compensation mechanism?

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Question 19

A nurse assesses a client who is admitted with an acid-base imbalance.The client's arterial blood gas values are pH 7.32,PaO₂ 85 mm Hg,PaCO₂ 34 mm Hg,and HCO₃- 16 mEq/L.What action should the nurse take next?

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Question 20

Showing 1 - 20 of 20

Exam 12: Assessment and Care of Patients with Acid-Base Imbalances

A nurse assesses a client who is experiencing an acid-base imbalance.The client's arterial blood gas values are pH 7.32,PaO2 94 mm Hg,PaCO2 34 mm Hg,and HCO3- 18 mEq/L.For which clinical manifestations should the nurse assess? (Select all that apply.)

A nurse is caring for a client who is experiencing excessive diarrhea.The client's arterial blood gas values are pH 7.28,PaO2 98 mm Hg,PaCO2 45 mm Hg,and HCO3- 16 mEq/L.Which provider order should the nurse expect to receive?

A nurse assesses a client who is receiving total parenteral nutrition.For which adverse effects related to an acid-base imbalance should the nurse assess? (Select all that apply.)

A nurse is planning interventions that regulate acid-base balance to ensure the pH of a client's blood remains within the normal range.Which abnormal physiologic functions may occur if the client experiences an acid-base imbalance? (Select all that apply.)

A nurse is caring for a client who is experiencing moderate metabolic alkalosis.Which action should the nurse take?

A nurse assesses a client who is experiencing an acid-base imbalance.The client's arterial blood gas values are pH 7.34,PaO2 88 mm Hg,PaCO2 38 mm Hg,and HCO3- 19 mEq/L.Which assessment should the nurse perform first?

A nurse is assessing a client who has acute pancreatitis and is at risk for an acid-base imbalance.For which manifestation of this acid-base imbalance should the nurse assess?

A nurse is planning care for a client who is anxious and irritable.The client's arterial blood gas values are pH 7.30,PaO2 96 mm Hg,PaCO2 43 mm Hg,and HCO3- 19 mEq/L.Which questions should the nurse ask the client and spouse when developing the plan of care? (Select all that apply.)

A nurse is planning care for a client who is hyperventilating.The client's arterial blood gas values are pH 7.30,PaO2 94 mm Hg,PaCO2 31 mm Hg,and HCO3- 26 mEq/L.Which question should the nurse ask when developing this client's plan of care?

A nurse evaluates a client's arterial blood gas values (ABGs): pH 7.30,PaO2 86 mm Hg,PaCO2 55 mm Hg,and HCO3- 22 mEq/L.Which intervention should the nurse implement first?

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?

After providing discharge teaching,a nurse assesses the client's understanding regarding increased risk for metabolic alkalosis.Which statement indicates the client needs additional teaching?

A nurse is caring for a client who has the following arterial blood values: pH 7.12,PaO2 56 mm Hg,PaCO2 65 mm Hg,and HCO3- 22 mEq/L.Which clinical situation should the nurse correlate with these values?

A nurse evaluates the following arterial blood gas values in a client: pH 7.48,PaO2 98 mm Hg,PaCO2 28 mm Hg,and HCO3- 22 mEq/L.Which client condition should the nurse correlate with these results?

A nurse is caring for a client who has just experienced a 90-second tonic-clonic seizure.The client's arterial blood gas values are pH 6.88,PaO2 50 mm Hg,PaCO2 60 mm Hg,and HCO3- 22 mEq/L.Which action should the nurse take first?

A nurse is assessing clients who are at risk for acid-base imbalance.Which clients are correctly paired with the acid-base imbalance? (Select all that apply.)

After teaching a client who was malnourished and is being discharged,a nurse assesses the client's understanding.Which statement indicates the client correctly understood teaching to decrease risk for the development of metabolic acidosis?

A nurse is caring for a client who has chronic emphysema and is receiving oxygen therapy at 6 L/min via nasal cannula.The following clinical data are available: Which action should the nurse take first?

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,PaO2 98 mm Hg,PaCO2 33 mm Hg,and HCO3- 18 mEq/L.Which manifestation should the nurse identify as an example of the client's compensation mechanism?

A nurse assesses a client who is admitted with an acid-base imbalance.The client's arterial blood gas values are pH 7.32,PaO2 85 mm Hg,PaCO2 34 mm Hg,and HCO3- 16 mEq/L.What action should the nurse take next?

Introduction to Medical Surgical Nursing Practice

Common Health Problems of Older Adults

Assessment and Care of Patients with Pain

Genetic and Genomic Concepts for Medical Surgical Nursing

Evidence Based Practice in Medical Surgical Nursing

Rehabilitation Concepts for Chronic and Disabling Health Problems

End of Life Care

Concepts of Emergency and Trauma Nursing

Care of Patients with Common Environmental Emergencies

Concepts of Emergency and Disaster Preparedness

Assessment and Care of Patients with Fluid and Electrolyte Imbalances

Infusion Therapy

Care of Preoperative Patients

Care of Intraoperative Patients

Care of Postoperative Patients

Inflammation and Immunity

Care of Patients with Arthritis and Other Connective Tissue Diseases

Care of Patients with HIV Disease and Other Immune Deficiencies

Care of Patients with Immune Function Excess: Hypersensitivity (Allergy)and Autoimmunity

Cancer Development

Care of Patients with Cancer

Care of Patients with Infection

Assessment of the Skin, Hair, and Nails

Care of Patients with Skin Problems

Care of Patients with Burns

Assessment of the Respiratory System

Care of Patients Requiring Oxygen Therapy or Tracheostomy

Care of Patients with Noninfectious Upper Respiratory Problems

Care of Patients with Noninfectious Lower Respiratory Problems

Care of Patients with Infectious Respiratory Problems

Care of Critically Ill Patients with Respiratory Problems

Assessment of the Cardiovascular System

Care of Patients with Dysrhythmias

Care of Patients with Cardiac Problems

Care of Patients with Vascular Problems

Care of Patients with Shock

Care of Patients with Acute Coronary Syndromes

Assessment of the Hematologic System

Care of Patients with Hematologic Problems

Assessment of the Nervous System

Care of Patients with Problems of the Central Nervous System: The Brain

Care of Patients with Problems of the Central Nervous System: The Spinal Cord

Care of Patients with Problems of the Peripheral Nervous System

Care of Critically Ill Patients with Neurologic Problems

Assessment of the Eye and Vision

Care of Patients with Eye and Vision Problems

Assessment and Care of Patients with Ear and Hearing Problems

Assessment of the Musculoskeletal System

Care of Patients with Musculoskeletal Problems

Care of Patients with Musculoskeletal Trauma

Assessment of the Gastrointestinal System

Care of Patients with Oral Cavity Problems

Care of Patients with Esophageal Problems

Care of Patients with Stomach Disorders

Care of Patients with Noninflammatory Intestinal Disorders

Care of Patients with Inflammatory Intestinal Disorders

Care of Patients with Liver Problems

Care of Patients with Problems of the Biliary System and Pancreas

Care of Patients with Malnutrition: Undernutrition and Obesity

A nurse assesses a client who is experiencing an acid-base imbalance.The client's arterial blood gas values are pH 7.32,PaO₂ 94 mm Hg,PaCO₂ 34 mm Hg,and HCO₃- 18 mEq/L.For which clinical manifestations should the nurse assess? (Select all that apply.)

A nurse is caring for a client who is experiencing excessive diarrhea.The client's arterial blood gas values are pH 7.28,PaO₂ 98 mm Hg,PaCO₂ 45 mm Hg,and HCO₃- 16 mEq/L.Which provider order should the nurse expect to receive?

A nurse assesses a client who is experiencing an acid-base imbalance.The client's arterial blood gas values are pH 7.34,PaO₂ 88 mm Hg,PaCO₂ 38 mm Hg,and HCO₃- 19 mEq/L.Which assessment should the nurse perform first?

A nurse is planning care for a client who is anxious and irritable.The client's arterial blood gas values are pH 7.30,PaO₂ 96 mm Hg,PaCO₂ 43 mm Hg,and HCO₃- 19 mEq/L.Which questions should the nurse ask the client and spouse when developing the plan of care? (Select all that apply.)

A nurse is planning care for a client who is hyperventilating.The client's arterial blood gas values are pH 7.30,PaO₂ 94 mm Hg,PaCO₂ 31 mm Hg,and HCO_3- 26 mEq/L.Which question should the nurse ask when developing this client's plan of care?

A nurse evaluates a client's arterial blood gas values (ABGs): pH 7.30,PaO₂ 86 mm Hg,PaCO₂ 55 mm Hg,and HCO₃- 22 mEq/L.Which intervention should the nurse implement first?

A nurse is caring for a client who has the following arterial blood values: pH 7.12,PaO₂ 56 mm Hg,PaCO₂ 65 mm Hg,and HCO₃- 22 mEq/L.Which clinical situation should the nurse correlate with these values?

A nurse evaluates the following arterial blood gas values in a client: pH 7.48,PaO₂ 98 mm Hg,PaCO₂ 28 mm Hg,and HCO₃- 22 mEq/L.Which client condition should the nurse correlate with these results?

A nurse is caring for a client who has just experienced a 90-second tonic-clonic seizure.The client's arterial blood gas values are pH 6.88,PaO₂ 50 mm Hg,PaCO₂ 60 mm Hg,and HCO₃- 22 mEq/L.Which action should the nurse take first?

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,PaO₂ 98 mm Hg,PaCO₂ 33 mm Hg,and HCO₃- 18 mEq/L.Which manifestation should the nurse identify as an example of the client's compensation mechanism?

A nurse assesses a client who is admitted with an acid-base imbalance.The client's arterial blood gas values are pH 7.32,PaO₂ 85 mm Hg,PaCO₂ 34 mm Hg,and HCO₃- 16 mEq/L.What action should the nurse take next?