Acid Base Imbalances Practice

The nurse should assess for which signs and symptoms in a client who has metabolic acidosis? Select all that apply. 1. Weight gain 2. Rapid, deep respirations 3. Drowsiness 4. Decreased respiratory rate and depth 5. Melena (blood in stool)

2. Rapid, deep respirations 3. Drowsiness

A client is admitted to the hospital with a diagnosis of respiratory acidosis secondary to overdose of barbiturates. Which assessment finding with the nurse anticipate? Select all that apply. 1. Slow shallow respirations 2. Tetany symptoms 3. Increased deep tendon reflexes 4. Palpitations 5. Headache

1. Slow shallow respirations 5. Headache

A client is admitted with severe diarrhea. ABG results are: pH 7.33; PAC02 42;HC0 3 20. The nurse concludes this client has which acid base imbalance. 1. Uncompensated metabolic acidosis 2. Compensated respiratory acidosis 3. Compensated metabolic acidosis 4.Uncompensated respiratory acidosis

1. Uncompensated metabolic acidosis

The nurse should suspect that a client who frequently uses which medication is at risk for developing metabolic alkalosis? 1. Calcium carbonate 2. Ibuprofen 3. Aspirin 4. Acetaminophen

1. Calcium carbonate

A client ABG results are: PH 7.36; PACO2 50; HCO3 28. What should the results indicate to the nurse? 1. Compensated respiratory acidosis 2. Compensated metabolic acidosis 3. Uncompensated metabolic acidosis 4. Uncompensated respiratory acidosis

1. Compensated respiratory acidosis

The client has been admitted for dehydration after fasting for five days. For which acid base in balance should the nurse assess this client? 1. Metabolic acidosis 2. Metabolic alkalosis 3. Respiratory acidosis 4. Respiratory alkalosis

1. Metabolic acidosis

Which statement by the client indicates that discharge teaching for respiratory alkalosis is understood? Select all thart apply. 1. "I will not take so many antacids anymore." 2. "I will take a stress management class." 3. "I will not take my furosemide without taking my potassium supplement." 4. "I will tell the doctor next time I have diarrhea for so long." 5. "I am more aware of how my breathing changes when I get nervous."

2. "I will take a stress management class." 5. "I am more aware of how my breathing changes when I get nervous."

A client is admitted to the hospital with sudden onset of severe abdominal pain. Which arterial blood gas (ABG) value should the nurse expect to see with this patient? 1. PAC02 48 2. HCO3 18 3. pH 7.32 4. SaO2 90

2. HCO3 18

The nurse is admitting a client who has metabolic alkalosis. The nurse plans to assess for manifestations of which electrolyte in balance? Select all that apply. 1. Hypernatremia 2. Hypochloremia 3. Hypermagnesemia 4. Hypocalcemia 5. Hypokalemia

2. Hypochloremia 4. Hypocalcemia 5. Hypokalemia

The nurse determines that a client with an NG tube on low suction for five days is at risk for developing which acid base imbalance? 1. Respiratory acidosis 2. Metabolic alkalosis 3. Metabolic acidosis 4. Respiratory alkalosis

2. Metabolic alkalosis

A client is admitted to the hospital with a diagnosis of renal failure. What arterial blood gas (ABG) results should the nurse expect to see with this client? 1. pH 7.49; PaCO2 36; HCO3 30 2. pH 7.30; PaCO2 35; HCO3 18 3. pH 7.31; PaCO2 50; HCO3 23 4. pH 7.43; PaCO2 48; HCO3 30

2. pH 7.30; PaCO2 35; HCO3 18

A client is admitted to the hospital after vomiting for three days. What arterial blood gas (ABG) results should the nurse expect? 1. pH 7.30; PaCO2 50; HCO3 27 2. pH 7.47; PaCO2 43; HCO3 28 3. pH 7.34; PaCO2 50; HCO3 28 4. pH 7.48; PaCO2 30; HCO3 23

2. pH 7.47; PaCO2 43; HCO3 28

A client admitted to the hospital has these ABG results: pH 7.50; PaCO2 40; HCO3 29. Which question should the nurse asked the client to help determine an ideology for these results? 1. "Have you had diarrhea lately?" 2. "Do you have a history of COPD?" 3. "How long have you had nausea and vomiting?" 4. "Do you smoke?"

3. "How long have you had nausea and vomiting?"

Which client medication to the nurse review first for its potential interaction in a client admitted to the hospital in a state of alkalosis? 1. Warfarin 2. Metformin 3. Digoxin 4. Ibuprofen

3. Digoxin

A client is admitted to the hospital with respiratory acidosis. The nurse considers that which condition could be an ideology for the state? Select all that apply. 1. Severe diarrhea for several days 2. Diabetic ketoacidosis 3. Obesity 4. Diuretics 5. Sedative overdose

3. Obesity 5. Sedative overdose

A client is admitted to the hospital with an acid base imbalance. Arterial blood gas (ABG) results are pH 7.33; PACO2 49;HC03 28. How should the nurse interpret these results? 1. Respiratory acidosis, uncompensated 2. Metabolic alkalosis, uncompensated 3. Partially compensated respiratory acidosis 4. Partially compensated metabolic acidosis

3. Partially compensated respiratory acidosis

The following ABG results are on the chart the client chart: pH 7.50; PACO2 36; HCO3 30. How should the nurse interpret this report? 1. Partially compensated metabolic alkalosis 2. Compensated respiratory alkalosis 3. Uncompensated metabolic alkalosis 4. Uncompensated respiratory alkalosis

3. Uncompensated metabolic alkalosis

A clients ABG results are pH 7.48; PAC02 30; HCO3 23. How should the nurse interpret these results? 1. Compensated respiratory alkalosis 2. Uncompensated metabolic alkalosis 3. Uncompensated respiratory alkalosis 4. Compensated metabolic alkalosis

3. Uncompensated respiratory alkalosis

A client is admitted to the hospital with numerous episodes of muscle weakness and twitching. ABG results are pH 7.44; PaCO2 49; HCO3 30. How should the nurse interpret these results. 1. Uncompensated metabolic acidosis 2. Compensated respiratory alkalosis 3. Uncompensated respiratory alkalosis 4. Compensated metabolic alkalosis

4. Compensated metabolic alkalosis

A client is admitted with a diagnosis of atelectasis and reports of chest pain. For which acid base imbalance should the nurse assess this client? 1. Respiratory alkalosis 2. Metabolic acidosis 3. Metabolic alkalosis 4. Respiratory acidosis

4. Respiratory acidosis

CO2 excretion by the lungs is the compensation for _______________________________.

Metabolic acidosis

DKA, salicylate toxicity, renal failure, diarrhea are causes of ______________________________.

Metabolic acidosis

Loss of acid or excessive bicarbonate in the body causes_____________________________.

Metabolic acidosis

Low pH/low HCO3 are the findings of ______________________________.

Metabolic acidosis