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A Patient Is Admitted with Acute Respiratory Failure Attributable to Pneumonia.Smoking

Question 11

Multiple Choice

A patient is admitted with acute respiratory failure attributable to pneumonia.Smoking history reveals that the patient smoked two packs of cigarettes a day for 25 years,stopping 10 years ago.ABG values on the current ventilator settings are pH,7.37; PaCO2,50 mm Hg; and HCO3-,27 mEq/L.Chest radiography reveals a large right pleural effusion.Which of the following is the correct interpretation of the patient's ABG values?


A) Compensated respiratory acidosis
B) Compensated metabolic alkalosis
C) Uncompensated respiratory alkalosis
D) Uncompensated metabolic acidosis

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