VATI Medsurg Reduction of Risk exam 2023 with 100% correct answers

A client who has been experiencing prolonged vomiting has the following ABG results: pH 7.48; pCO2 40 mm Hg; HCO3 34 mEq/L; pO2 85 mm Hg. The nurse determines that the client is experiencing which of the following imbalance? Select one: a. Respiratory Alkalosis b. Metabolic Alkalosis c. Respiratory Acidosis d. Metabolic Acidosis - correct answerb. Metabolic Alkalosis Alkalosis is reflected by an arterial pH greater than 7.45. Because this client has an increase in the base component, HCO3, this is a metabolic alkalosis. Metabolic alkalosis results from: • Base excess - Oral ingestion of bases (antacids) - Venous administration of bases (blood transfusions, TPN, or sodium bicarbonate) - Acid deficit - Loss of gastric secretions (through prolonged vomiting, NG suction) - Potassium depletion (due to thiazide diuretics, laxative abuse, Cushing's syndrome) - Metabolic alkalosis results in: - Increased HCO3 A client experiencing intermittent chest pain has been admitted to the hospital. Which of the following laboratory values should the nurse report to the health care provider immediately? Select one: a. Creatine kinase (C