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Exam (elaborations)

Exam (elaborations) MDC II

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ENTAILS QUESTIONS AND ANSWERS

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, A patient is brought into the ED with respiratory depression. The patient has a history of
COPD. What acid-base imbalance is most likely? - CORRECT ANSWERS-Respiratory
Acidosis. The patient likely has a build-up of CO2, causing respiratory acidosis.

The nurse is evaluating the lab work of a patient who has uncontrolled metabolic
acidosis. Which lab result would result from this condition?
A) pH 7.4
B) PaO2 98 mm Hg
C) bicarbonate 38 mEq/ L
D) serum potassium 5.7 mEq/L - CORRECT ANSWERS-D) serum potassium 5.7
mEq/L. Serum potassium increases during acidosis to try to buffer the acidic conditions.

The nurse is reviewing the standing orders for a patient who was admitted for evaluation
of chest pain. The patient has a history of chronic obstructive pulmonary disease
(COPD) and his laboratory results and assessment reveal that he has mild respiratory
acidosis. The nurse would question which order?
A.Encourage oral fluids
B.Keep head of bed elevated
C.Oxygen therapy at 4 L/min as needed
D.Bedrest with bathroom privileges only - CORRECT ANSWERS-C) Oxygen therapy at
4L/ Min as needed. Oxygen therapy is often ordered for respiratory acidosis. However,
COPD patients have a difficult time off-loading carbon dioxide and giving too much
oxygen can cause these patients to have a decrease in respiratory drive, leading to
respiratory arrest.

A client has acute alcohol intoxication. What acid-base imbalance is the client at risk
for? - CORRECT ANSWERS-metabolic acidosis.

A client comes into the ED with respiratory acidosis. What type of medication would the
nurse likely administer? - CORRECT ANSWERS-bronchodilators

A client comes into the ED with a high fever and is hyperventilating. His ABG results are
pH 7.51, PaCO2 28 mm Hg, and HCO3 24 mEq/L. The nurse should identify that the
client has which acid-base imbalance? - CORRECT ANSWERS-Respiratory Alkalosis.
Because the client is breathing rapidly, he is exhaling excessive amounts of carbon
dioxide. This loss of carbon dioxide decreases the hydrogen ion level of the blood,
causing the pH to increase and resulting in respiratory alkalosis.

A nurse is caring for a client who has metabolic alkalosis. As the client compensates for
this ac
id-base imbalance, which of the following mechanisms should the nurse expect the
client's body to use? - CORRECT ANSWERS-Hypoventilation.
Hypoventilation is the mechanism that helps clients compensate for metabolic alkalosis.

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