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concept of nursing 2
Assessment related to Acid-base balance
Question | Answer |
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The nurse is assessing a patient who is diagnosed with respiratory acidosis. Which cardiovascular finding does the nurse anticipate when assessing the cardiovascular system? | - Tachycardia -Dysrhythmia |
Which clinical manifestation does the nurse anticipate when assessing a patient who is experiencing respiratory alkalosis? | Tachypnea |
Which assessment finding causes the nurse to suspect that a patient is experiencing metabolic acidosis? | Kussmaul respirations |
A patient presents with muscle twitching and tetany. Ten minutes after hospital admission, the patient experiences a seizure. Which acid-base imbalance should the nurse suspect? | Metabolic alkalosis |
The nurse is evaluating the ABG results for a patient who is suspected of having an acid-base imbalance. The ABG analysis indicates a decreased pH, an increased PaCO2, and a normal HCO3-. Which conclusion by the nurse is accurate? | Respiratory acidosis |
Which nursing actions should the nurse perform when analyzing an ABG during the assessment process for a patient who is suspected of having an acid-base imbalance? | -Examining oxygenation status -Evaluating the pH -Assessing PaCO2 and HCO3- - Determining compensation |
The nurse is providing care to a patient with the following ABG values: pH 7.30, PaCO2 40 mm Hg, and HCO3- 20 mEq/L. Which should the nurse document in the medical record regarding this ABG? | Metabolic acidosis |
Which should the nurse assess for in all patients who are experiencing an acid-base imbalance? | - ABG analysis -Vital signs |