Ch 9

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? Increased metabolic acids Renal bicarbonate retention Decreased CO2 retention Impaired alveolar ventilation

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? Metabolic acidosis Respiratory acidosis Respiratory alkalosis Metabolic alkalosis

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 cardiovascular system. The client has alterations in vital signs. The client has abnormalities in his buffer system. The client has a decreased hemoglobin.

The client has abnormalities in his buffer system.

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 - A postoperative client who developed sepsis after the dehiscence of an abdominal wound - A client in alcohol withdrawal who is being treated with intravenous anticonvulsants - A client with acquired immunodeficiency syndrome (AIDS) who has developed tuberculosis and is receiving antibiotics

A client on continuous nasogastric suction and whose hypertension is being treated with diuretics

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 alkalosis. It indicates the client has metabolic acidosis. It indicates the client has respiratory acidosis. It indicates the client has respiratory alkalosis.

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? An increase in bicarbonate Metabolic acidosis Increased pH value No change in values from normal

Metabolic acidosis

For which acid-base imbalance will the nurse monitor for a client taking large doses of loop diuretics? Metabolic alkalosis Metabolic acidosis Respiratory acidosis Respiratory alkalosis

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? Metabolic acidosis Respiratory acidosis Respiratory alkalosis Metabolic alkalosis

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? Metabolic acidosis Respiratory acidosis Metabolic alkalosis Respiratory alkalosis

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: -positioning the client in an upright position when in bed and mobilizing the client frequently. -administering intravenous sodium bicarbonate as prescribed. -encouraging pursed-lip breathing and deep breathing and coughing exercises. -administering intravenous magnesium sulfate as prescribed.

administering intravenous sodium bicarbonate as prescribed.