Exam 1: Acidbase Balance

The nurse is caring for a client who has been admitted to the unit with respiratory failure and respiratory acidosis.Which data from the nursing history would the nurse suspect contributed to the client's current state of health?

A client is brought to the emergency department (ED)after passing out in a local department store.The client has been fasting and has ketones in the urine.Which acid-base imbalance would the nurse expect to assess in this client?

The nurse is preparing discharge instructions for an older adult client recovering from respiratory acidosis caused by restrictive lung disease and pneumonia.Which topics should the nurse include in the discharge teaching for this client? Select all that apply.

The nurse is planning care for the client who has been admitted with metabolic alkalosis.Which are appropriate nursing diagnoses for this client during the acute phase of the illness? Select all that apply.

During an assessment,the nurse becomes concerned that a client is at risk for developing metabolic alkalosis.What did the nurse assess that caused this concern?

The nurse is reviewing prescriptions written for a client with chronic respiratory acidosis.Which prescription should the nurse question prior to implementation?

The nurse is preparing to teach a client with type 1 diabetes mellitus on the mechanism behind the development of ketoacidosis.List the order in which the nurse should provide this information. 1) Production of lactate and hydrogen ions 2) Tissue hypoxemia 3) Breakdown of fatty tissue 4) Reduction in intracellular glucose 5) Fatty acids converted to ketones

The nurse is reviewing new orders written for a client experiencing respiratory alkalosis.Which orders would be appropriate for this client's care needs? Select all that apply.

Which risk factors exhibited by the client presenting in the emergency department (ED)would place the client at risk for metabolic acidosis? Select all that apply.

The client with an anxiety disorder is ready to be discharged from the unit.What should the nurse plan to teach this client and family in preparation for discharge? Select all that apply.

The nurse is instructing a client with a history of acidosis on the use of sodium bicarbonate.Which client statement indicates that additional teaching is needed?

A child with acute asthma has a PaCO₂ of 48 mmHg,a pH of 7.31,and a normal HCO₃ blood gas value.The nurse interprets these findings as indicative of which condition?

A client is admitted with manifestations of metabolic alkalosis.Which diagnostic test findings support the admitting diagnosis? Select all that apply.

A client who was diagnosed with diabetes mellitus 1 year ago is hospitalized in diabetic ketoacidosis after a religious fast.The client tells the nurse,"I have fasted during this season every year since I became an adult.I am not going to stop now." The nurse is not knowledgeable about this particular religion.Which nursing actions would be appropriate? Select all that apply.

The nurse is planning care for the client with Cushing's syndrome who has been admitted for complications related to the disease process.Which intervention should the nurse plan for this client to improve the impaired gas exchange?

The nurse is preparing to admit a client with acute pneumonia who is experiencing severe respiratory acidosis.Which treatments does the nurse anticipate as appropriate for this client? Select all that apply.

The nurse is assessing an African-American client.The client is diagnosed with metabolic acidosis secondary to renal failure.Which nursing actions are culturally appropriate for this client? Select all that apply.

A client is brought to the emergency department with rapid breathing after learning of a family member being killed in a house fire.What should the nurse do first to help this client?

The nurse is analyzing the client's arterial blood gas report,which reveals a pH of 6.58.The client has just suffered a cardiac arrest.Which consequences of this pH value does the nurse consider for this client?

The nurse is planning care for a client who has been admitted to the unit with a salicylate overdose.When preparing the plan of care,the nurse considers which to be a priority nursing diagnosis?