⭐️CM1 test TWO: Med Surg evolve questions
When the nurse is reviewing a clients ABG results, which finding would be consistent with respiratory alkalosis? A. decrease pH / increased PCO2 B. increased pH / decreased PCO2 C. decreased pH / decreased POC2 D. increased pH / increased PCO2
increased pH / decreased PCO2
Why would you tell someone to hyperventilate into a bag or "cupped hands"?
it allows teh CO2 to reenter the lungs which will increase the HCO3 level
Which ABG result for a client on a vent using the pressure support mode would indicate to the nurse that they are hyperventilating? A. pH = 7.28 B. HCO3 = 24 C. pCO2 = 30 D. PaO2 = 60
PaO2 = 60
which statements accurately describe the manifestation of alkalosis in the CNS? select all that apply Negative Chvostek sign Positive Trosseau's sign Client has paresthesia Client shows signs of anxiety & irritability Their CNS should have decreased activity
Positive Trosseau's sign Client has paresthesia Client shows signs of anxiety & irritability
A high school student arrives at the local blood drive center to donate for the first time. As she sits down, she begins to become agitated and hyperventilate. Which instruction would the nurse provide? A. Breathe into cupped hands B. Pant, using rapid shallow breaths C. use a rapid deep-breathing pattern D. Hold the breath for as long as possible
Breathe into cupped hands
which complication would the nurse prevent by addressing the needs of a hyperventilating client? A. cardiac arrest B. Carbonic Acid deficit C. reduction in serum pH D. excess oxygen saturation
Carbonic Acid deficit
Surgery is performed on a client with a parotid tumor. Postoperative ABG values are pH = 7.32 / PCO2 = 53 / HCO3 = 25. Which action would the nurse take? A. administer a potent diuretic B. obtain a prescription for alkalinizing agent C. Encourage the client to cough and then take deep breaths between coughs D. have them breathe into a rebreather bag at a slow rate
Encourage the client to cough and then take deep breaths between coughs
Hypoventilation causes excessive loss of _______________
H+ ions
in respiratory alkalosis the pH level is elevated because of the loss of _____________
H+ ions
The nurse is caring for a client after abdominal surgery and encourages the client to do deep breathing exercises and turn from side to side. Which complication is she trying to prevent? A. metabolic acidosis B. metabolic alkalosis C. Respiratory acidosis D. respiratory alkalosis
Respiratory acidosis
a client with COPD has a pH of 7.25 and PCO2 of 60. Which complication would the nurse suspect they are experiencing? A. metabolic acidosis B. metabolic alkalosis C. Respiratory acidosis D. respiratory alkalosis
Respiratory acidosis
Is lightheadedness a symptom of respiratory acidosis or alkalosis?
alkalosis
if a client suffers from _____________ their CNS activity increases
alkalosis
a client with uncontrolled DM1 will most likely experience which type of acid base imbalance?
metabolic acidosis r/t excess ketones in the body
A client who has been vomiting for 3 days will most likely experience which type of acid base imbalance?
metabolic alkalosis
A client who takes NaCl for heart burn will most likely experience which type of acid base imbalance?
metabolic alkalosis
prolonged gastric suction can lead to __________
metabolic alkalosis
respiratory alkalosis is caused by exhalation of large amounts of ____________
carbon dioxide
hyperventilation leads to the elimination of ____________ which lowers _________ and causes ___________
carbon dioxide Co2 respiratory alkalosis
Assessment findings of a client with smoke inhalation include a negative chest x-ray and ABGs of: pH=7.35/ PO2=85 / PCO2 =45. Which interventions would the nurse anticipate? select all cough broncho-dilators deep breathing bronchial suctioning humidified O2
cough deep breathing humidified O2
Postoperative ABG values for a client in the PACU are : pH= 7.32 / HCO3 = 25 / PaO2 = 85. Which action would the nurse take? A. plan to send them to med-surg B. ask the anesthesiologist to consider re-intubating C. encourage the client to take deep breaths & cough D. increase the O2 flow rate from 4-6L
encourage the client to take deep breaths & cough
A client's arterial blood gas report indicates the pH is 7.52 / PCO2 = 32/ and HCO3 = 24. Which does the nurse identify as a possible cause of these results? A. airway obstruction B. inadequate nutriiton C. prolonged gastric suction D. excessive mechanical ventilation
excessive mechanical ventilation
which early signs of respiratory acidosis would the nurse expect the client with a restrictive airway disease to exhibit? select all that apply headache irritability lightheadedness restlessness hypertension
headache irritability restlessness
A client appears anxious, exhibiting 40 shallow respirations per minute. They are dizzy, light headed, and have a tingling sensation. What is this most likely related to? A. eupnea B. hyperventilation C. kussmaul respirations D. carbon dioxide intoxication
hyperventilation
Is hypertension or hypotension a key feature of acidosis?
hypotension
general anesthesia might cause ____________ which results from a low pH and a high Co2
hypoventilation
when ABG results for an alert client in the PACU are: pH= 7.37 / pCO2 = 42 / HCO3 = 25 / SaO2 = 90%. Which action would the nurse take? A. increase O2 flow rate B. insert an airway C. suction the pharynx & trachea D. prepare to transfer pt out of PACU
increase O2 flow rate
The nurse is caring for a client with the following ABG: PO2 = 89 / PCO2 = 35 / pH= 7.37. These indicate the client is experiencing what condition? A. respiratory alkalosis B. Poor oxygen perfusion C. normal acid-base balance D. compensated metabolic acidosis
normal acid-base balance
pulmonary fibrosis can cause which type of acid base imbalance?
respiratory acidosis
which type of acid-base imbalance would the nurse expect in a child admitted with a severe asthma exacerbation? A. metabolic alkalosis caused by excessive production of acid B. Respiratory alkalosis cause by increased RR and loss of CO2 C. respiratory acidosis caused by impaired respirations & increased carbonic acid formation D. metabolic acidosis caused by the kidneys inability to compensate for increased carbonic acid formation
respiratory acidosis caused by impaired respirations & increased carbonic acid formation
and increase in HCO3 relieves which respiratory imbalance?
respiratory alkalosis
high pH and low Co2 are consistent with ____________ which can be caused by mechanical ventilation that's too strong
respiratory alkalosis
an ABG report indicates the follow: pH = 7.25 / Pco2 = 60 / HCO3 = 26 Which client is most likely to exhibit these blood gas results. A. client with pulmonary fibrosis B. client with uncontrolled DM1 C. client who's vomiting for 3+ days D. client who takes baking soda for indigestion
the client with pulmonary fibrosis
Which assessment finding in a laboring client indicates respiratory alkalosis? A. change in RR B. tingling sensation C. periodic change in fetal HR D. pulse ox of <98%
tingling sensation