ATI: Acid Base
A nurse is reviewing the ABG results of a patient who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see? pH<7.35, HCO3 >26, PaO2 <70, PaCO2 >45
pH <7.35
A nurse is admitting a patient who reports flu-like symptoms with hyperactive reflexes and a new onset of confusion. The nurse should recognize that the patient is experiencing which of the following conditions?
metabolic alkalosis
A nurse is reviewing the medical records of 4 patients who have an acid-base imbalance. The nurse should recognize that which of the following patients is at risk for metabolic acidosis? A patient who has diarrhea, A patient who is vomiting, a patient taking a thiazide diuretic, a patient who has salicylate intoxication
a patient who has diarrhea
A nurse in the ED is caring for a patient who has pulmonary edema, reports dyspnea, and appears anxious. The patients BP is 108/79 and his apical pulse is 112. Which of the following interventions is the nurse's priority? Administer High-flow )2 at 5L by facemark to the patient, place patient high-fowlers with legs dependent, give patient sublingual nitroglycerin, reassure the patient
administer high flow O2 at 5L by facemask
A nurse caring for a patient who has metabolic alkalosis should monitor for which of the following clinical manifestations? (select all) bicarbonate excess, kussmauls breathing, flushing, curcumoral paresthesia, lethargy
bicarb excess, circumoral paresthesia
When reviewing a patients lab report of blood gas findings, HCO3- 18mEq/L and PaCO2 28mm Hg. Which of the following pH values and conditions should the nurse expect when interpreting these findings? Decreased pH and metabolic acidosis, decreased pH and respiratory acidosis, elevated pH and metabolic alkalosis, elevated pH and respiratory alkalosis
decreased pH and and metabolic acidosis
A nurse on a med-surg unit is performing an admission assessment of a patient who has COPD with emphysema. The patient reports he has a frequent productive cough and is short of breath. The nurse should anticipate which of the following assessment findings for this patient? Respiratory alkalosis, increased anteroposterior diameter of the chest, O2 sat 96%, petechiae on chest
increased anteroposterior diameter of the chest
A nurse is caring for a patient who has the following arterial blood gas results : HCO3 18mEq, PaCO2 28mm Hg, and pH 7.30. The nurse recognizes the client is experiencing which of the following acid base imbalances? metabolic acidosis, respiratory acidosis, metabolic alkalosis, respiratory alkalosis
metabolic acidosis
A nurse is admitting a patient who has influenza and is reporting numbness and tingling of the toes and fingers. The nurse should recognize the patient is experiencing which of the following acid-base imbalances? metabolic acidosis, metabolic alkalosis, respiratory acidosis, respiratory alkalosis
metabolic alkalosis
A nurse is caring for a patient who is experiencing severe nausea and vomiting after a course of chemo. The nurse should monitor for which of the following clinical manifestations? metabolic acidosis, metabolic alkalosis, respiratory acidosis, respiratory alkalosis
metabolic alkalosis
A nurse is caring for a patient who's ABG results show a pH of 7.3 and a PaCO2 of 50. The nurse should identify that the patient is experiencing what? metabolic acidosis, metabolic alkalosis, respiratory acidosis, respiratory alkalosis
respiratory acidosis
A patient is admitted to the ED w/RR of 7. ABGs reveal following values,[ph 7.22, paCO2 68, Base excess -2, PaO2 78, Saturation 80%, Bicarb 26] which of the following is an appropriate analysis of the ABGs? respiratory acidosis, metabolic acidosis, metabolic alkalosis, respiratory alkalosis
respiratory acidosis
a nurse is caring for a patient who is postop and whose respirations are shallow and 9/min. Which of the following acid-based imbalances should the nurse identify the patient as being at risk for developing initially? respiratory acidosis, respiratory alkalosis, metabolic acidosis, metabolic alkalosis
respiratory acidosis
A nurse is reviewing the ABG results for a patient in the ICU who has kidney failure and determines the patient has respiratory acidosis. Which of the following findings should the nurse expect? Widened QRS complexes, hyperactive deep tendon reflexes, bounding peripheral pulse, warm flushed skin
widened QRS complexes (dysrhythmias)
