NUR 336 Acid-Base Balance
A nurse in the emergency department is caring for a client who
has pulmonary edema, reports dyspnea, and appears anxious.
The client's blood pressure is 108/79 and his apical pulse is 112.
Which of the following interventions is the nurse's priority?
a) Administer high-flow oxygen at 5 L/min by facemask to the
client
b) Place the client in high-Fowler's position with legs dependent
c) Give the client sublingual nitroglycerin
d) Reassure the client Correct Answers Administer high-flow
oxygen at 5 L/min by facemask to the client.
A client who has pulmonary edema is critically ill and is
hypoxic. The first action the nurse should take when using the
airway, breathing, circulation approach to client care is to
administer high-flow oxygen at 5 L/min by facemask to the
client.
A nurse is admitting a client who has influenza and is reporting
numbness and tingling of the toes and fingers. The nurse should
recognize the client is experiencing which of the following acid-
base imbalances?
a) metabolic acidosis
b) metabolic alkalosis
c) respiratory acidosis
d) respiratory alkalosis Correct Answers Metabolic alkalosis
, A client who has influenza has experienced excessive vomiting
leading to metabolic alkalosis. Manifestations include dizziness,
Circumoral paresthesias, and numbness and tingling of the
extremities.
A nurse is admitting a client who reports flu-like symptoms with
hyperactive reflexes and a new onset of confusion. The nurse
should recognize that the client is experiencing which of the
following conditions?
a) metabolic acidosis
b) metabolic alkalosis
c) respiratory acidosis
d) respiratory alkalosis Correct Answers Metabolic alkalosis
A client who is experiencing metabolic alkalosis would report
manifestations such as confusion, dizziness, circumoral
paresthesia, and numbness and tingling of the extremities.
Objective findings would include hyperactive reflexes, tetany,
and decreased respiratory depth and rate.
A nurse is caring for a client who has metabolic alkalosis. For
which of the following clinical manifestations should the nurse
monitor? (Select all that apply.)
a) bicarbonate excess
b) Kussmaul's respirations
c) flushing
d) circumoral paresthesia
e) lethargy Correct Answers Bicarbonate excess & circumoral
excess
A nurse in the emergency department is caring for a client who
has pulmonary edema, reports dyspnea, and appears anxious.
The client's blood pressure is 108/79 and his apical pulse is 112.
Which of the following interventions is the nurse's priority?
a) Administer high-flow oxygen at 5 L/min by facemask to the
client
b) Place the client in high-Fowler's position with legs dependent
c) Give the client sublingual nitroglycerin
d) Reassure the client Correct Answers Administer high-flow
oxygen at 5 L/min by facemask to the client.
A client who has pulmonary edema is critically ill and is
hypoxic. The first action the nurse should take when using the
airway, breathing, circulation approach to client care is to
administer high-flow oxygen at 5 L/min by facemask to the
client.
A nurse is admitting a client who has influenza and is reporting
numbness and tingling of the toes and fingers. The nurse should
recognize the client is experiencing which of the following acid-
base imbalances?
a) metabolic acidosis
b) metabolic alkalosis
c) respiratory acidosis
d) respiratory alkalosis Correct Answers Metabolic alkalosis
, A client who has influenza has experienced excessive vomiting
leading to metabolic alkalosis. Manifestations include dizziness,
Circumoral paresthesias, and numbness and tingling of the
extremities.
A nurse is admitting a client who reports flu-like symptoms with
hyperactive reflexes and a new onset of confusion. The nurse
should recognize that the client is experiencing which of the
following conditions?
a) metabolic acidosis
b) metabolic alkalosis
c) respiratory acidosis
d) respiratory alkalosis Correct Answers Metabolic alkalosis
A client who is experiencing metabolic alkalosis would report
manifestations such as confusion, dizziness, circumoral
paresthesia, and numbness and tingling of the extremities.
Objective findings would include hyperactive reflexes, tetany,
and decreased respiratory depth and rate.
A nurse is caring for a client who has metabolic alkalosis. For
which of the following clinical manifestations should the nurse
monitor? (Select all that apply.)
a) bicarbonate excess
b) Kussmaul's respirations
c) flushing
d) circumoral paresthesia
e) lethargy Correct Answers Bicarbonate excess & circumoral
excess
