Arterial Blood Gas

The nurse understands causes of respiratory acidosis include: (SELECT ALL THAT APPLY)

- COPD - Pneumonia

A patient has the following blood gasses: PaCO2 33, pH 7.50, HCO3 23. Which of the following could NOT be the cause of this condition?

COPD

A nurse is caring for a client who has emphysema and chronic respiratory acidosis. The nurse should monitor the client for which of the following electrolyte imbalances?

Hyperkalemia

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?

Hyperventilation

A patient's condition is worsening and arterial blood gases (ABGs) are drawn with the following results: pH 7.52, HCO3 24, PCO2 31. Which of the following nursing assessment findings would be consistent with this acid base imbalance?

Hyperventilation

A client in the emergency department reports that he has been vomiting excessively for the last 2 days. His arterial blood gas (ABG) analysis shows a pH of 7.50, the partial pressure of arterial carbon dioxide (PaCO2) of 43 mm Hg, partial pressure of arterial oxygen (PaO2) of 75 mm Hg, and bicarbonate (HCO3) of 42 mEq/L. Based on these findings, the nurse documents that the client is experiencing which type of acid-base imbalance?

Metabolic alkalosis

The ABG's of a patient with severe COPD are: pH 7.36, PaO2 80, PaCO2 44, HCO3 25. Based on these findings, what are the priority actions of the nurse?

No actions is required at this time

A nurse is preparing to assist a provider with an arterial blood withdrawal from a client's radial artery for ABG measurement. Which of the following actions should the nurse plan to take?

Perform an Allen's test prior to obtaining the specimen.

A nurse is caring for a client whose arterial blood gas results show a pH of 7.3 and a PaCO2 of 50 mm Hg. The nurse should identify that the client is experiencing which of the following acid-base imbalances?

Respiratory acidosis

A nurse is caring for an older adult client who has chronic obstructive pulmonary disease (COPD) with pneumonia. The nurse should monitor the client for which of the following acid-base imbalances?

Respiratory acidosis

A nurse is caring for a client who is extremely anxious and is hyperventilating. The client's ABG results are pH 7.50, PaCO2 27 mmHg, and HCO3- 25 mEq/L. The nurse should identify that the client has which of the following acid-base imbalances?

Respiratory alkalosis

A nurse is reviewing a client's ABG results: pH 7.42, PaCO2 30 mm Hg, and HCO3 -21 mEq/L. The nurse should recognize these findings as an indication of which of the following conditions?

Uncompensated respiratory acidosis

A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the following findings should the nurse expect?

Urine specific gravity 1.001

A patients ABG results: pH 7.31, PaCO2 50, PaO2 51, HCO# 24. Oxygen is administered 2L/min and the patient is placed in high fowlers position. An hour later the ABG's are repeated: pH 7.36, PaO2 81, PaCO2 60, HCO3 24. It is most important for the nurse to take which of the following actions?

increase the oxygen flow rate to 4L/min

A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?

lethargy

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

pH 7.25, HCO3- 19 mEq/L, PaCO2 30 mm Hg

A nurse is reviewing the arterial blood gas levels of a client who has chronic kidney disease. Which set of ABG values should the nurse expect as a possible clinical finding?

pH 7.32, HCO3 20, PACO2 35 (causes metabolic acidosis)

A nurse is reviewing the laboratory results of a client who has metabolic alkalosis. Which of the following laboratory values should the nurse expect?

pH 7.49, HCO3- 32 mEq/L, PaCO2 40 mmHg

When the nurse is analyzing the results of a patient/s arterial ABGs. Which finding indicates the need for most immediate action?

the partial pressure of oxygen in PaO2 is 59 mmHg

A patient has the following ABG results: ph 7.48, PaO2 86 mmHg, PaCO2 44 mmHg, HCO3 29 mEq/L. When assessing the patient, the nurse would expect the patient to experience:

warm, flushed skin