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NMNC 2310 ABG ACTIVITY QUESTIONS AND CORRECT ANSWERS

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NMNC 2310 ABG ACTIVITY QUESTIONS AND CORRECT ANSWERS

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NMNC 2310 ABG ACTIVITY QUESTIONS AND CORRECT
ANSWERS


Correct 20

Incorrect 00




1 of 20

Term


A patient with vomiting and a decreased level of consciousness shows
slow and deep (Kussmaul breathing). Patient is lethargic and irritable in
response to stimulation, and dehydration is diagnosed. Measurement
of arterial blood gas shows pH 7.08, PaO2 91 mm Hg, PaCO2 23 mm
Hg, and HCO3 14 mmol/L; other results are Na+ 120 mmol/L, K+ 2.5
mmol/L, and Cl- 95 mmol/L. As a knowledgeable nurse, you know that
a normal value for PaCO2 is:



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The PH will rise and PaCO2 will Fall Normal Range is 22 - 26 mmol/L




Normal Range is 7.35 - 7.45 Normal Range is 35 - 45 mm Hg

, Don't know?




2 of 20

Term


Mrs. Martinez, is in the post-anesthesia care unit (PACU). She is difficult
to arouse two hours following surgery. She has received Morphine
Sulfate intravenously for of post-surgical pain. The client's respiratory
rate is 7 per minute with shallow breathing. The patient does not
respond to any stimuli. The nurse assesses the ABCs (remember Airway,
Breathing, Circulation!) and obtains ABGs STAT. Measurement of
arterial blood gas shows pH 7.11, PaCO2 69 mm Hg, and HCO3 23
mEq/L. What does this mean?



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Metabolic Alkalosis, Uncompensated Metabolic Acidosis, Uncompensated




Respiratory Acidosis, Respiratory Alkalosis,
Uncompensated Uncompensated


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3 of 20

Term

, Jimmy Kent is a 57-year-old widower with a history of chronic
obstructive pulmonary disease. He was rushed to the emergency
department with increasing shortness of breath, pyrexia, and a
productive cough with yellow-green sputum. He is unable to complete
a sentence. One of his daughters, Lois, says he has been unwell for
three days. Assessment reveals crackles and wheezes heard in the
lower lobes; he has tachycardia and a bounding pulse. Measurement of
arterial blood gas shows pH 7.29, PaCO2 69 mm Hg, HCO3 28 mmol/L,
and PaO2 61 mm Hg. How would you interpret this?
Give this one a try later!



Metabolic Acidosis, Partially, Compensated


The student was diagnosed having diabetes mellitus. The results show that he has
metabolic acidosis (low HCO3-) with respiratory compensation (low CO2).




Respiratory Acidosis, Partially Compensated


The patient has respiratory acidosis (raised carbon dioxide) resulting from an
acute exacerbation of chronic obstructive pulmonary disease, with partial
compensation.




Respiratory Alkalosis, Uncompensated




Respiratory Acidosis, Uncompensated


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4 of 20

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