Exam 13: Acid-Base Balance

A client is brought to the emergency department in cardiac arrest. The nurse is aware that the associated acid-base imbalance that will require treatment is

A client has a blood pH of 7.30 and is being treated with an infusion of sodium bicarbonate. The nurse should assess this client for a possible delayed reaction of increasing levels of which component in the blood?

The nurse teaching a 32-year-old man with renal failure about the pathophysiologic mechanism of acid-base balance recognizes that the instructions have been understood when the client says

The nurse explains to a concerned family member of a client who has developed respiratory acidosis that the kidneys

A client is admitted to the hospital with severe vomiting and is diagnosed with metabolic alkalosis. The nurse anticipates that the laboratory value that would support this diagnosis is

The nurse is caring for an 80-year-old client admitted to the hospital with pneumonia and who is becoming progressively more confused. Her vital signs are as follows: T, 101° F; P, 112 beats/min; R, 28 breaths/min; BP, 100/70 mm Hg. ABG results are pH 7.50, PaCO₂ 25 mm Hg, and bicarbonate level 18 mEq/L. The nurse interprets these findings to indicate

The nurse caring for a client who experienced cardiopulmonary arrest and has a mixed respiratory/metabolic acidosis explains to a concerned family member that the mechanical ventilator can eliminate

A client in diabetic ketoacidosis has an elevated serum potassium ion (K⁺) level. The nurse explains to the client that this is caused by

The nurse performs Allen's test before obtaining an ABG specimen to determine

The nurse is caring for a client who has developed metabolic acidosis and has an anion gap of 12 mEq/L. The nurse informs a family member that this finding indicates that the client's acidosis is caused by

Receiving a client's ABG report with pH of 7.40, PaCO₂ of 55 mm Hg, and bicarbonate level of 20 mEq/L, the nurse interprets these values to indicate

In an assessment of current clients, the nurse recognizes that the client most likely to develop respiratory acidosis has

A client with a diagnosis of chronic renal failure has pH of 7.35, PaCO₂ of 29 mm Hg, and bicarbonate level of 16 mEq/L. The nurse interprets these ABG results as

For a 34-year-old client in renal failure who develops acidosis, the nurse would assess for

The nurse is assigned to a client with insulin-dependent diabetes who was brought to the emergency department because of shortness of breath and confusion. On admission, the client's blood glucose level is 720 mg/ml, and ABG values are pH of 7.28, PaCO₂ of 35 mm Hg, and bicarbonate level of 15 mEq/L. The nurse interprets these readings as indicating

To prevent error in sampling arterial blood gases (ABGs), the nurse will

When an individual's serum pH begins to fall below 7.35, the mechanism that responds instantaneously to return the serum pH to normal level is

Age-related physiologic changes the nurse would consider when planning care for an elderly client admitted with an acid-base abnormality include (Select all that apply)

The nurse caring for a trauma victim who has received massive transfusions of whole blood is diligent in assessment for metabolic alkalosis because

The nurse assesses that the client admitted in respiratory acidosis has compensated when the arterial blood gas (ABG) readings are