ABG ANALYSIS NCLEX EXAM 1

S - The Marketplace to Buy and Sell your Study Material A B G A N A L Y S I S N C L E X E X A M 1 1. George Kent is a 54 year old widower with a history of chronic obstructive pulmonary disease and was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough with yellow-green sputum. He has difficulty in communicating because of his inability to complete a sentence. One of his sons, Jacob, says he has been unwell for three days. Upon examination, crackles and wheezes can be heard in the lower lobes; he has a tachycardia and a bounding pulse. Measurement of arterial blood gas shows pH 7.3, PaCO2 68 mm Hg, HCO3 28 mmol/L, and PaO2 60 mm Hg. How would you interpret this? A. Respiratory Acidosis, Uncompensated B. Respiratory Acidosis, Partially Compensated C. Metabolic Alkalosis, Uncompensated D. Metabolic Acidosis, Partially Compensated 2. C ar l , a n e l e m e n t a r y s t u d e n t , w a s r u s h e d t o t h e h o s p i t a l d u e t o v o m i t i n g a n d a d e c r e a s e d le vel o f co n s c io u s n e s s . T h e p a t i e n t d i s p la ys s l o w a n d d e e p (Kussmaul breathing), and he is lethargic and irritable i n r e s p o n s e t o s t i m u l a t i o n . H e a p p e a r s t o b e d e h y d r a t e d — h i s e y e s a r e s u n k e n a n d m u c o u s membranes are dry—and he has a two week history of polydipsia, polyuria, and weight loss. Measurement of a rt e r ia l b l o o d g a s s h o w s p H 7 . 0 , P a O 2 9 0 m m H g , PaCO2 23 mm Hg, and HCO3 12 mmol/L; other results are Na+ 126 mmol/L, K+ 5 mmol/L, and Cl- 95 mmol/L. W h a t is y o u r a s s e s s m e n t ? A. Respiratory Acidosis, Uncompensated B. Respiratory Acidosis, Partially Compensated C. Metabolic Alkalosis, Uncompensated D. Metabolic Acidosis, Partially, Compensated 3. A cigarette vendor was brought to the emergency department of a hospital after she fell into the ground and hurt her left leg. She is noted to be tachycardic and tachypneic. Painkillers were carried out to lessen her pain. Suddenly, she started complaining that she is still in pain and now experiencing muscle cramps, tingling, and paraesthesia. Measurement of arterial blood gas reveals pH 7.6, PaO2 120 mm Hg, PaCO2 31 mm Hg, and HCO3 25 mmol/L. What does this mean? A. Respiratory Alkalosis, Uncompensated B. Respiratory Acidosis, Partially Compensated C. Metabolic Alkalosis, Uncompensated D. Metabolic Alkalosis, Partially Compensated 4. R i ck y ’ s g r a n d m o t h e r is s u f f e r i n g f r o m p er s i s t e n t vomiting for two days now. She appears to be lethargic a n d w e a k a n d h a s m y a l g i a . S h e is n o t e d t o h a v e d r y m u c u s m e m b r a n e s a n d h e r ca p i l la ry ref ill t a k e s > 4 s e c o n d s . S h e is d i a g n o s e d a s h a v i n g g a s t r o e n t e r i t i s a n d d e h y d r a t i o n . M e a s u r e m e n t of a rte r ial b l o o d g a s s h o w s p H 7. 5, P a O 2 8 5 m m H g , P a C O 2 4 0 m m H g , a n d HCO3 34 mmol/L. What acid-base disorder is shown? A. Respiratory Alkalosis, Uncompensated B. Respiratory Acidosis, Partially Compensated C. Metabolic Alkalosis, Uncompensated D. Metabolic Alkalosis, Partially Compensated 5. Mrs. Johansson, who had undergone surgery in the post-anesthesia care unit (PACU), is difficult to arouse two hours following surgery. Nurse Florence in the P A C U h a s b e e n a d m i n i s t e r i n g M o r p h i n e S u l f a t e i n t r a v e n o u s l y t o t h e cl ient fo r c o m p l a i n t s o f p o s t - su rg ic a l p a i n . T h e cl ient ’ s r e s p i r a t o r y r a t e is 7 p e r m i n u t e a n d d e m o n s t r a t e s s h a l l o w b r e a t h i n g . T h e p a t i e n t d o e s n o t r e s p o n d t o a n y st im ul i ! T h e n u r s e a s s e s s e s t h e A B C s ( r e m e m b e r A i r w a y , B r e a t h i n g , Circulation!) and obtains ABGs STAT! Measurement of ar t er ia l b l o o d g a s s h o w s p H 7 . 1 0 , P a C O 2 7 0 m m H g a n d H C O 3 2 4 m E q / L . W h a t d o e s th is m e a n ? A. Respiratory Alkalosis, Partially Compensated B. Respiratory Acidosis, Uncompensated C. Metabolic Alkalosis, Partially Compensated D. Metabolic Acidosis, Uncompensated 6. Baby Angela was rushed to the Emergency Room following her mother’s complaint that the infant has been irritable, difficult to breastfeed and has had Downloaded by: Distribution of this document is illegal Want to earn $103 per month? infant’s respiratory S - The Marketplace to Buy and Sell your Study Material This study source was downloaded by from CourseH on 10-30-2d0i2a1r1r3h:5e4a:22foGrMtThe-05p:0a0st 3 d a y s . The Downloaded by: Distribution of this document is illegal Want to earn $103 per month?