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The nurse and nursing student are caring for a client with a new diagnosis of diabetes whose
blood glucose is 974 mg/dl(54.1 mmol /L)Which of these statements indicates the student
understands the relationship between blood glucose and acid base balance ?
A. "The excess glucose in the blood causes the client to hypoventilate and retain carbon dioxide
resulting in respiratory acidosis"
B. " The hyperglycemia is caused by inability of glucose to enter the cell causing a starvation
state and break down of fats"
C. "The client has a hyperosmolar condition causing polyuria and polyphagia, but the acid base
balance is normal"
D. "The client is retaining carbon dioxide which led to respiratory acidosis and somnolence " -
Answer B. " The hyperglycemia is caused by inability of glucose to enter the cell causing a
starvation state and break down of fats"
When caring for a client with a burn injury and eschar banding the chest, the nurse plans to
observe the client for which of these acid base disturbances ?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis - Answer A. Respiratory acidosis
When caring for a client who has the following blood gas results , which of these interventions
does the nurse plan to use to correct the acid base disturbance? pH 7.47 - pC*O_{2} * 37 mm
hg- HC*O_{3} * 30mEq / L; (30mmol / L) - p*O_{2} * 88mmhg
A. Endotracheal suctioning
B. Applying oxygen
C. Administering an antiemetic
D. Administering sodium bicarbonate - Answer C. Administering an antiemetic
The nursing assistant reports that the client with metabolic acidosis due to kidney failure is
breathing rapidly and deeply The nurse explains this to the nursing assistant in which of these
manners?
A. "The client is acting out and we should pay him no mind"
B. "Rapid breathing is a way to compensate acidosis caused by his condition"
C. "Normally a client with this disorder will breathe slowly, I will go assess him"
D. "Deep breathing is a symptom of diabetes, I will check his blood glucose" - Answer B.
"Rapid breathing is a way to compensate acidosis caused by his condition"