Respiratory Acidosis

The nurse is providing care to a client recently extubated for treatment of aspiration pneumonia and respiratory acidosis. Which action by the nurse provides an optimum environment for this client? A) Allowing family members to remain with client as much as possible B) Restraining the client C) Placing the client in a side-lying position D) Administering narcotics for pain

Answer: A A) Allowing family members to remain with client as much as possible

A 10-year-old boy has been admitted to the hospital with respiratory acidosis. The nurse suspects that which chronic lung disease most likely caused the child to develop this condition? A) Cystic fibrosis B) Aspiration C) Hyperthyroidism D) Pneumonia

Answer: A A) Cystic fibrosis

A client has been admitted to the unit with chronic obstructive pulmonary disease. Blood gas analysis indicates respiratory acidosis. The nurse anticipates which diagnosis should be the priority for this client? A) Impaired Gas Exchange B) Ineffective Airway Clearance C) Impaired Mobility D) Anxiety

Answer: A A) Impaired Gas Exchange

The nurse is preparing discharge instructions for an older client recovering from respiratory acidosis caused by restrictive lung disease and pneumonia. What should the nurse include in this teaching? Select all that apply. A) Obtain annual influenza immunization. B) Engage in frequent hand washing. C) Avoid crowds. D) Cover the nose and mouth when coughing. E) Restrict fluids.

Answer: A, B, C, D A) Obtain annual influenza immunization. B) Engage in frequent hand washing. C) Avoid crowds. D) Cover the nose and mouth when coughing.

The nurse is preparing to admit a client with acute pneumonia who is experiencing severe respiratory acidosis. The nurse anticipates that treatment for this client may include which actions? Select all that apply. A) Administer oxygen prn. B) Administer digoxin for heart failure. C) Encourage up to 3L of fluids per day. D) Place in a prone position. E) Reposition frequently.

Answer: A, C, E A) Administer oxygen prn. C) Encourage up to 3L of fluids per day. E) Reposition frequently.

The nurse suspects a client with one functioning lung is developing chronic respiratory acidosis. Which manifestation did the nurse most likely assess in this client? A) Warm, flushed skin B) Daytime sleepiness C) Irritability D) Blurred vision

Answer: B B) Daytime sleepiness

The nurse has admitted a client who was brought to the hospital after a morphine overdose. What acid-base imbalance does the nurse expect to observe in this client? A) Respiratory alkalosis B) Respiratory acidosis C) Metabolic alkalosis D) Metabolic acidosis

Answer: B B) Respiratory acidosis

A client with pneumonia develops respiratory acidosis. Which medications should the nurse prepare to administer to this client? Select all that apply. A) Furosemide (Lasix) 20 mg by mouth twice a day B) Amoxicillin 1 gram intravenous every 6 hours C) Albuterol inhaler 2 puffs every 4 hours D) Diazepam (Valium) 2 mg by mouth at bedtime for sleep E) Potassium chloride 20 mEq in 100 mL 0.9% normal saline intravenous every day

Answer: B, C B) Amoxicillin 1 gram intravenous every 6 hours C) Albuterol inhaler 2 puffs every 4 hours

The nurse is caring for a client who has been admitted to the unit with respiratory failure and respiratory acidosis. What data from the nursing history would the nurse suspect contributed to the client's current state of health? A) Use of ibuprofen for the control of pain B) A recent trip to South America C) Aspiration pneumonia D) Recent recovery from a cold virus

Answer: C C) Aspiration pneumonia

The nurse is caring for a client who is being mechanically ventilated. Arterial blood gas analysis reveals a pH of 7.20 and a PaCO2 of 49 mmHg. Which change in ventilator settings should the nurse anticipate? A) Increase in humidification of inspired air B) Decrease of FiO2 from 30% to 25% C) Increased respiratory rate to 30 breaths per minute D) Decreased tidal volume of each breath

Answer: C C) Increased respiratory rate to 30 breaths per minute

A client brought to the Emergency Department for treatment of an overdose has arterial blood gas results that indicate acute respiratory acidosis. For which substance should the nurse plan care for this client? A) Cocaine B) Marijuana C) Oxycodone D) PCP

Answer: C C) Oxycodone

The nurse instructs a client with a history of acute respiratory acidosis and lung infections on ways to prevent further episodes of the health problem. Which client statement indicates that teaching has been effective? A) "I will limit drinking alcohol to the evening hours only." B) "I will limit my intake of bananas and oranges." C) "I will take prescribed antibiotics until my symptoms subside." D) "I will receive the annual influenza vaccination."

Answer: D D) "I will receive the annual influenza vaccination."

The nurse is reviewing orders written for a client with chronic respiratory acidosis. Which order should the nurse question before implementing for this client? A) Keep head of the bed elevated to 40-degree angle. B) Dextrose 5% and 0.45% normal saline at 100 mL per hour C) Consult Respiratory Therapy for breathing treatments four times a day. D) Oxygen 4 liters per nasal cannula

Answer: D D) Oxygen 4 liters per nasal cannula