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concept of nursing 2
causes of acid-base imbalance
| Question | Answer |
|---|---|
| The nurse is providing care to a patient, following a motor vehicle accident. The steering wheel hit the patient’s chest and trapped the patient in the car until the rescue workers arrived. The patient is now complaining of dyspnea. | -- |
| For which acid-base imbalance does the nurse identify the patient to be at risk? | Respiratory acidosis |
| The nurse is caring for a school-age patient who fell at school and is receiving treatment for a fractured arm. The patient is crying and complaining of pain. | -- |
| The nurse reviews the patient’s lab results, which indicate an elevated pH and a decreased PaCO2. Which condition is the patient experiencing based on the current data? | Respiratory alkalosis |
| Which patients should the nurse identify as being at risk for respiratory acidosis secondary to impaired gas exchange? | -A patient experiencing an asthma attack -A patient diagnosed with scoliosis -A patient who is two hours postoperative for thoracic surgery |
| The nurse is caring for a patient with pulmonary edema. The nurse knows this patient is at risk for respiratory acidosis as a result of which factor? | Impaired gas exchange |
| The nurse admits a patient who is unresponsive. Which conditions in the medical history should the nurse identify as placing the patient at risk for metabolic acidosis? | - Type I diabetes -Sepsis |
| Laboratory values for a patient recently admitted include: pH - 7.31, PaO2 - 59.2 mm Hg, PaCO2 - 38.6 mm Hg, HCO3 – 17.5 mEq/L, and O2 saturation - 88%. The patient is awake, but lethargic, and is taking rapid, deep breaths. | -- |
| Which data in the medical history could be the cause for the current findings? | Diabetes mellitus |
| A patient is admitted with dehydration and lethargy. Which data should the nurse identify as supporting the diagnosis of metabolic alkalosis? | -Increased pH -Increased bicarbonate |
| The nurse is caring for a patient with an admitting diagnosis of metabolic acidosis. Which change in the patient’s respiratory pattern indicates to the nurse that compensation is occurring? | Kussmaul respirations |
Created by:
Lightnning54
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