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NUR2243 Module 1 EAQs questions well answered 100% correct

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NUR2243 Module 1 EAQs questions
well answered 100% correct

When evaluating the laboratory results of a patient with diabetic ketoacidosis, which lab value
indicates the body has fully compensated from this acid-base imbalance? - correct answer
✔✔Normal pH on arterial blood gases



What is one of the causes of acidosis? - correct answer ✔✔Kidney failure



Lab results for a 62-year-old patient show the following results: pH 7.48; bicarbonate 26; PaO 2
90; PaCO 2 32. These findings are consistent with which acid-base imbalance? - correct answer
✔✔respiratory alkalosis



To decrease the risk of acid-base imbalance, what goal must the patient with diabetes mellitus
strive for? - correct answer ✔✔Maintaining blood glucose level within normal limits.



How does the body compensate for a low pH? - correct answer ✔✔Increases respiratory rate



A patient admitted with diabetic ketoacidosis was treated for metabolic acidosis with
intravenous (IV) fluids and insulin. Which electrolyte imbalance does the nurse monitor for as
the acid-base imbalance resolves? - correct answer ✔✔Hypokalemia



Which arterial blood gas laboratory values would be seen in metabolic alkalosis? - correct
answer ✔✔pH 7.49, HCO 3 - 32



When caring for a patient with metabolic acidosis, what must the nurse keep in mind regarding
acid-base chemistry? - correct answer ✔✔Fluids with lower pH have higher acidity.

,A lab report for a 47-year-old patient shows the following results: pH 7.32; bicarbonate 24; PaO
2 77; PaCO 2 48. These findings are consistent with which acid-base imbalance? - correct
answer ✔✔Respiratory acidosis



After a motor vehicle crash, the nurse is consoling a patient in the emergency department who
is hysterical and hyperventilating after being notified of the death of a family member. What
acid-base imbalance is this patient likely to develop? - correct answer ✔✔Respiratory alkalosis



A patient is admitted with severe diabetic ketoacidosis. Arterial blood gas results reveal a pH of
7.21. What is this patient's acidosis most likely in response to? - correct answer ✔✔Excessive
breakdown of fatty acids



When caring for a patient with kidney failure who has metabolic acidosis, which symptom does
the nurse expect as evidence of the body's compensatory effort? - correct answer ✔✔Rapid
and deep respirations



The nurse is caring for a group of patients with acidosis. The nurse recognizes that Kussmaul
respirations are consistent with which situation? - correct answer ✔✔Aspirin overdose



A patient with diabetes mellitus is brought to the emergency department after vomiting for
several days. The patient has rapid, deep respirations and a urine dipstick reveals ketonuria.
Which process does the nurse suspect is occurring with this patient? - correct answer
✔✔Respiratory compensation for metabolic acidosis



Deep and rapid breaths consistent with Kussmaul respirations are found in patients with which
type of acid-base imbalance? - correct answer ✔✔Metabolic acidosis



Which conditions place a patient at risk for developing metabolic alkalosis? Select all that apply.
- correct answer ✔✔blood transfusion

nasogastric suctioning

total parenteral nutrition

,What is taking place in the body when hyperventilation occurs? - correct answer ✔✔The central
nervous system is responding to a rise in carbon dioxide.



Which electrolyte abnormality does the nurse anticipate when reviewing laboratory data for a
patient admitted with metabolic acidosis? - correct answer ✔✔Hyperkalemia



The nurse is caring for a patient with metabolic alkalosis. What manifestations of metabolic
alkalosis is the nurse likely to assess? Select all that apply. - correct answer ✔✔numbness
around the mouth

hyperactivity of deep tendon reflexes



The nurse obtains lab results for a 50-year-old patient with the following results: pH 7.24;
bicarbonate 20; PaO 2 82; PaCO 2 35. These findings are consistent with which acid-base
imbalance? - correct answer ✔✔Metabolic acidosis



The lab values for a patient admitted for an exacerbation of chronic obstructive pulmonary
disease (COPD) reveal a pH of 7.29 with a decreased PaO 2 and an elevated PaCO 2. Which
initial treatment does the nurse expect the provider to most likely order? - correct answer
✔✔Bronchodilator therapy



The nurse is assessing the laboratory reports of a patient with impaired kidney function. What
changes most indicate the patient has metabolic acidosis? - correct answer ✔✔Decrease in
serum bicarbonate level



When caring for a group of patients at risk for respiratory acidosis, the nurse identifies which
person as at highest risk? - correct answer ✔✔Patient who smokes cigarettes



A patient admitted to the emergency department is having an acute episode of asthmatic
bronchitis. The nurse notes the pH on the most recent arterial blood gas is 7.31. What is the

, most likely explanation for this finding? - correct answer ✔✔Acidosis in response to the
excessive retention of carbon dioxide



A new nurse is caring for a postoperative patient with the following arterial blood gas (ABG)
result: pH 7.30; PaCO 2 60 mm Hg; PaO 2 80 mm Hg; bicarbonate 24 mEq/L; and O 2 saturation
96%. Which of these actions by the new graduate is indicated? - correct answer ✔✔Encourage
the patient to use the incentive spirometer and cough.



Which arterial blood gas result does the nurse anticipate in the care of a patient diagnosed with
acute kidney failure? - correct answer ✔✔pH 7.33, PaO 2 82 mm Hg, PaCO 2 35 mm Hg, HCO 3 -
19 mEq/L



Which action does the nurse take first for the patient who is admitted to the emergency
department (ED) with a panic attack and whose blood gases indicate respiratory alkalosis? -
correct answer ✔✔Encourage the patient to take slow breaths.



A patient currently taking acetazolamide develops metabolic acidosis. Which nursing
interventions are appropriate for the nurse to include in the plan of care? Select all that apply. -
correct answer ✔✔Monitoring electrolyte levels

Administering intravenous (IV) fluids

Placing the patient on fall precautions



After successful resuscitation of cardiopulmonary arrest, the nurse views these arterial blood
gases: pH 7.28; CO 2 52; HCO 3 - 16. What is the interpretation of these values? - correct answer
✔✔Combined respiratory and metabolic acidosis



The trauma nurse is caring for a patient who sustained thoracic trauma with multiple rib
fractures and flail chest. Which intervention may be considered to promote gas exchange and
prevent respiratory acidosis in this patient? - correct answer ✔✔Ventilatory assistance

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