FUND week 12 ATI
Acetone odor to breath
A nurse in the emergency department is assisting with the care of a client who is comatose. The provider suspects ketoacidosis. Which of the following findings should the nurse expect?
Respiratory acidosis
A nurse is assisting in the care of a client who has acute onset pulmonary edema and is experiencing dyspnea with low oxygen saturation rates. The nurse should recognize the client is at risk for which of the following acid-use imbalances?
Respiratory alkalosis
A nurse is assisting with the admission of a client who is hyperventilating, reports lightheadedness and paresthesias, and has blurred vision and a new onset of confusion. The nurse should suspect that the client has developed which of the following imbalances?
Metabolic acidosis
A nurse is caring for a client who has acute kidney injury. The clients ABGS are: pH 7.26, PaCO2 30mm Hg, HCO3 14mEq/L Which of the following acid-imbalances should the nurse identify the client is experiencing?
Shallow respirations Cardiac dysrhythmias Hyperactive reflexes
A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor?
pH 7.31
A nurse is caring for a client who has respiratory acidosis. Which of the following pH levels should the nurse expect?
Place the client in high fowlers position and encourage the use of incentive spirometer and coughing
A nurse is caring for a client who is 1 day postoperative following an open thoracotomy. The client is receiving oxygen mist at 40% by the face tent. The clients SiO2 is 89%. ABG results are: pH 7.31, PaO2 93mm Hg, PCO2 50mm Hg, HCO3 25 mEq/L. Which of the following is an appropriate action by the nurse?
Metabolic alkalosis
A nurse is caring for a client who is experiencing severe nausea and vomiting following chemotherapy. The nurse should monitor the client for which of the following acid-base imbalances?
Metabolic alkalosis
A nurse is caring for a client who received chemotherapy and is experiencing severe nausea and vomiting. The nurse should monitor the client for which of the following conditions?
Respiratory acidosis
A nurse is caring for a client whose arterial blood gas results show the following results: pH 7.2, PaCO2 50mm Hg, HCO3 24mEq/L The nurse should identify the client is experiencing which of the following acid-base conditions?
Metabolic acidosis
A nurse is caring for a client whose arterial blood gases include a pH of 7.30, an HCO3- of 18 mEq/L and a PaCO2 of 28mm Hg. The nurse should suspect that the client has developed which of the following acid-base imbalances?
Hyperventilation
A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect?
Regular
A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client?
Polydipsia
A nurse is collecting data from a client who has diabetes mellitus. Which of the following findings indicates that the client is experiencing DKA?
Decreased level of consciousness
A nurse is collecting data from a client who has pneumonia and is experiencing acute respiratory acidosis. Which of the following manifestations should the nurse expect to find?
Respiratory acidosis
A nurse is collecting data from a client who has shallow respirations and a respiratory rate of 9/min. Which of the following acid-base imbalances should the nurse expect?
Respiratory acidosis
A nurse is collecting data from a client whose arterial blood gas value reveal a pH of 7.24, PaCO2 of 53, and an HCO3- of 24. The nurse should prepare to treat the client for which of the following acid-base imbalances?
Small for gestational age
A nurse is collecting data from a newborn who has respiratory distress syndrome and is experiencing respiratory acidosis. Which of the following risk factors predisposes the newborn to respiratory difficulties?
Respiratory acidosis
A nurse is reviewing the ABG values of a client who has chronic bronchitis and reports dyspnea with minimal exertion. Which of the following acid-base imbalances should the nurse suspect?
Metabolic alkalosis
A nurse is reviewing the arterial blood gas (ABG) results of a client. The clients ABGs are: pH 7.6, PaCo2 40mm Hg, HCO3 32mEq/L. Which of the following acid base conditions should the nurse identify the client is experiencing?
Respiratory acidosis
A nurse is reviewing the laboratory results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas (ABG) values include: pH 7.22 PaCO2 68mm Hg Base excess -2 PaO2 78mm Hg Oxygen saturation 80% Bicarbonate 28 mEq/L Which of the following interpretations of the ABG values should the nurse make?
Diarrhea
A nurse is reviewing the medical record of a client who has metabolic acidosis. The nurse should realize that which of the following findings contributes to development of metabolic acidosis?
Metabolic alkalosis
A nurses collecting data from a client who reports persistent vomiting, dizziness, palpations, and numbness/tingling in his fingers and toes and around his mouth. The nurse notes the clients respirations are slow and shallow. The nurse should suspect that the client has developed which of the following acid-base imbalances?
pH 7.47 and PaCO2 31mm Hg
A nurses reviewing the laboratory results of a client who was hyperventilating during a panic attack. Which of the following arterial blood gas values should the nurse expect?
