Exam 1: Acidbase Balance

The results of a client's arterial blood gas sample reveal an oxygen level of 72 mmHg.For which associated health problem should the nurse assess this client?

The nurse is caring for a client who is being mechanically ventilated.Arterial blood gas analysis reveals a pH of 7.20 and a PaCO₂ of 49 mmHg.Which change in ventilator settings should the nurse anticipate?

A client with injuries from a motor vehicle crash is intubated for respiratory support.The nurse notes that the client is fighting the ventilator and attempting to pull out the endotracheal tube.What should the nurse do to reduce this client's risk of developing respiratory alkalosis?

During a home visit,the nurse evaluates teaching provided to a client recently hospitalized for metabolic alkalosis.Which observation indicates that additional teaching is required?

The nurse is caring for a client admitted with renal failure and metabolic acidosis.Which clinical manifestation would indicate to the nurse that planned interventions to relieve the metabolic acidosis have been effective?

A client is admitted to the unit with chronic obstructive pulmonary disease.Blood gas analysis indicates respiratory acidosis.Based on this data,the nurse plans care based on which priority diagnosis?

A client with pneumonia develops respiratory acidosis.Which medications should the nurse prepare to administer to this client? Select all that apply.

The nurse is caring for a client with metabolic acidosis.Which goals are appropriate for this client? Select all that apply.

The nurse is providing care to a client recently extubated for treatment of aspiration pneumonia and respiratory acidosis.Which action by the nurse provides an optimum environment for this client?

The nurse is caring for the client experiencing hypovolemic shock and metabolic acidosis.Which therapies would the nurse question if planned for this client? Select all that apply.

The nurse suspects a client with one functioning lung is developing chronic respiratory acidosis.Which manifestation did the nurse most likely assess in this client?

The nurse is identifying a diagram to use to explain a client's acid-base balance.Which imbalance does the following diagram suggest is occurring with the client?

The nurse is caring for the client with a history of anxiety who is experiencing chest pain,palpitations and dyspnea.Which intervention would be a priority for this client?

A client with hyperaldosteronism is admitted to the unit and is at risk for impaired gas exchange.Which position should this client be placed to enhance gas exchange?

The nurse is caring for a client who has been admitted to the hospital for congestive heart failure.Which data collected during the nursing assessment indicates that the client is at risk for metabolic alkalosis? Select all that apply.

The nurse is planning care for an older client with respiratory acidosis.Which intervention should the nurse include in this client's plan of care?

The nurse is reviewing the latest arterial blood gas results for a client with metabolic alkalosis.Which result indicates that the metabolic alkalosis is compensated?

A client with severe metabolic alkalosis is admitted to the unit.Which is the priority for the client?

The nurse is evaluating care provided to a client with respiratory alkalosis.Which outcomes indicate that nursing care has been effective for this client? Select all that apply.

The nurse is providing care to an older adult Asian-American client diagnosed with respiratory alkalosis.The nurse states to the client,"look into my eyes and breathe with me so that we can slow down your breathing rate." The client continues to look down and refuses to make eye contact with the nurse.The client's daughter later asks you to teach her how to help her mother to control her breathing.When documenting this client's care,which statement is appropriate for the nurse to include?