PrepU Chap 32

A client admitted to the facility is diagnosed with Respiratory acidosis based on arterial blood gas values. When obtaining the client's history, which statement would the nurse interpret as a possible underlying cause?

"I was breathing so fast because I was so anxious and in so much pain."

A client admitted to the facility is diagnosed with metabolic alkalosis based on arterial blood gas values. When obtaining the client's history, which statement would the nurse interpret as a possible underlying cause?

"I've been taking antacids almost every 2 hours over the past several days."

A client admitted to the facility is diagnosed with metabolic acidosis based on arterial blood gas values. When obtaining the client's history, which statement would the nurse interpret as a possible underlying cause?

"I've had a GI virus for the past 3 days with severe diarrhea."

A client admitted to the facility is diagnosed with Respiratory alkalosis based on arterial blood gas values. When obtaining the client's history, which statement would the nurse interpret as a possible underlying cause?

"I've had a fever for the past 3 days that just doesn't seem to go away."

A client needs an intravenous fluid that will pull fluids into the vascular space. What type of fluid does the nurse prepare to administer as prescribed?

Hypertonic

A clients ph is 7.20. What physiological process will contribute to the correction of this?

Increased respiratory rate

A client's most recent blood work indicates high phosphorus level. For what signs and symptoms should the nurse vigilantly monitor?

Muscle weakness

Which statement most accurately describes the process of osmosis?

Water moves from an area of lower solute to an area of higher solute concentration.

The nurse is caring for a client who had a parathyroidectomy. Upon evaluation of the client's laboratory studies, the nurse would expect to see imbalances in which electrolytes related to the removal of the parathyroid gland?

calcium and phosphorus

A dialysis unit nurse caring for a client with acute kidney injury will expect the client to exhibit which fluid and electrolyte imbalances?

fluid volume excess and acidosis

A nurse suspects a client with electrolyte imbalances is experiencing hypomagnesemia. Which nursing assessment finding may indicate hypomagnesemia?

hyperactive deep tendon reflexes (DTRs)

The nurse is caring for a client who was in a motor vehicle accident and has severe cerebral edema. Which fluid does the nurse anticipate infusing?

hypertonic

A client is admitted to the facility after experiencing uncontrolled diarrhea for the past several days. The client is exhibiting signs of a fluid volume deficit. When reviewing the client's laboratory test results, which electrolyte imbalance would the nurse likely to find? *Intestinal contents are rich in ECF. Which vitamin in in the ECF?

hypokalemia(K+)

A client has metabolic (nonrespiratory) acidosis. Which type of respirations would be assessed? *What do the lungs do to compensate bicarbonate build up?

increased depth and rate

The nurse is caring for a client who has kidney problems causing fluid balance issues. What electrolyte imbalances are relayed to this issue?

sodium, chloride, and potassium

A client is brought into the emergency department with a suspected opioid overdose. The nurse would anticipate that the client would most likely experience which acid-base imbalance?

Respiratory acidosis

During an assessment of an older adult client, the nurse notes an increase in pulse and respiration rates, and notes that the client has warm skin. The nurse also notes a decrease in the client's blood pressure. Which medical diagnosis may be responsible?

hypovolemia

Arterial blood gases reveal that a client's pH is 7.20. What physiologic process will contribute to a restoration of correct acid-base balance?

increased respiratory rate