PATHO PREPU EXAM QUESTIONS - Chapter 9
A nurse is providing care for several clients on an acute medicine unit. Which client should the nurse recognize as being at the highest risk for metabolic alkalosis?
A client on continuous nasogastric suction and whose hypertension is being treated with diuretics
The nurse is caring for a client with acute primary respiratory acidosis. When determining the cause of the acidosis the nurse is aware that which imbalance is most common?
Impaired alveolar ventilation
The nurse enters a client's hospital room and finds the client breathing rapidly, stating, "I must be having a stroke, my fingers are tingling!" Which acid-base balance disorder is this client experiencing due to hyperventilation?
Respiratory alkalosis
The nurse is assessing a client with abnormal blood gas values. Which of these interpretations does the nurse make regarding the client's physiologic status?
The client has abnormalities in his buffer system.
A client has an increase in her anion gap (AG). What does the nurse determine is the significance of this finding?
It indicates the client has metabolic acidosis.
The nurse is caring for a client who has excessive diarrhea. Which acid-base disturbance does the nurse anticipate will result from having excessive diarrhea?
Metabolic acidosis
For which acid-base imbalance will the nurse monitor for a client taking large doses of loop diuretics?
Metabolic alkalosis
A client arrives in the emergency department by ambulance with a family member stating, "He took an overdose of sleeping pills and I found him breathing very shallowly." For which type of acid-base disturbance will the nurse anticipate this client will be treated?
Respiratory acidosis
The nurse is caring for a client who complains of headache and blurred vision. The nurse recognizes that these symptoms, accompanied by increased plasma partial pressure carbon dioxide (PCO2) level and decreased pH level, are consistent with which diagnosis?
Respiratory acidosis
A client with a long history of alcohol abuse has been admitted to the emergency department after several of days of heavy drinking. The nurse can best promote the restoration of the client's acid-base balance by:
administering intravenous sodium bicarbonate as prescribed.