EAQ acid base/ balance

A client's arterial blood gas report indicates that pH is 7.25, PCO2 is 60 mm Hg, and HCO3 is 26 mEq/L. Which client should the nurse consider is most likely to exhibit these blood gas results? 65-year-old with pulmonary fibrosis 24-year-old with uncontrolled type 1 diabetes 45-year-old who has been vomiting for three days 54-year-old who takes sodium bicarbonate for indigestion

65- yr old

The nurse is monitoring a client who is receiving peritoneal dialysis. After the dialysate has infused, the client reports severe respiratory difficulty. What immediate action should the nurse implement? Weigh the client. Auscultate breath sounds. Obtain STAT arterial blood gases. Turn the client on their right side.

Auscultate breath sounds

A client is receiving dexamethasone (Decadron) to treat acute exacerbation of asthma. For what side effect should the nurse monitor the client? Hyperkalemia Liver dysfunction Orthostatic hypotension Increased blood glucose

Increase in blood glucose

A male adult patient hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis? Nausea or vomiting Abdominal pain or diarrhea Hallucinations or tinnitus Lightheadedness or paresthesia

lightheadedness or paresthesia

When caring for clients who are demonstrating manic behavior, the nurse must constantly reassess these clients' physical needs. What characteristic about these clients makes this particularly important? Will withdraw to their rooms if left alone Have difficulty making their needs known May gain too much weight from overeating May become exhausted from excessive activity

may become exhausted from excessive activity

A nurse assesses a client who is experiencing profound (late) hypovolemic shock. When monitoring the client's arterial blood gas results, what response does the nurse expect? Hypokalemia Metabolic acidosis Respiratory alkalosis Decreased carbon dioxide leve

metabolic acidosis Explanation: Decreased oxygen promotes the conversion of pyruvic acid to lactic acid, resulting in metabolic acidosis. Arterial blood gases do not assess serum potassium levels. Hyperkalemia will occur with shock because of renal shutdown; hypokalemia may occur in early shock. Respiratory alkalosis may occur in early shock because of rapid, shallow breathing, but in late shock, metabolic or respiratory acidosis occurs. The carbon dioxide level will be increased in profound shock.

A nurse repositions a client who is diagnosed with emphysema to facilitate breathing. Which position facilitates maximum air exchange? Supine Orthopneic Low-Fowler Semi-Fowler

orthopneic

The nurse administers oxygen to a client during the early postoperative period after open heart surgery. Why is this necessary? Clients have closed-chest drainage in place Hypoxia can precipitate respiratory alkalosis Reduced oxygen levels can stimulate dysrhythmias Increased respiratory rates add to postoperative pain

reduced O2 levels can stimulate dysrhythmias