A client is in a motor vehicle accident with a severe kidney injury and develops acute renal failure. Which acid-base imbalance is most likely to develop?

Respiratory Acidosis

Metabolic Alkalosis

Respiratory Alkalosis

Metabolic acidosis

Answer and Explanation

The Correct Answer is D

A. Respiratory Acidosis: Respiratory acidosis results from inadequate ventilation leading to CO₂ retention, which is unrelated to kidney failure.

B. Metabolic Alkalosis: Metabolic alkalosis occurs due to excessive loss of acids (e.g., vomiting) or excess bicarbonate intake. Acute renal failure causes acid retention, not loss.

C. Respiratory Alkalosis: Respiratory alkalosis is caused by hyperventilation and excessive CO₂ loss, not renal dysfunction.

D. Metabolic acidosis: The kidneys play a vital role in acid-base balance by excreting hydrogen ions and reabsorbing bicarbonate. Acute renal failure impairs these functions, leading to acid retention and metabolic acidosis.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Respiratory Alkalosis: Alkalosis results from hyperventilation, which is not expected with thoracic trauma.

B. Metabolic Acidosis: Metabolic acidosis occurs due to renal failure, lactic acidosis, or diarrhea, not thoracic trauma.

C. Metabolic Alkalosis: Alkalosis can result from vomiting or excessive bicarbonate intake, not respiratory failure.

D. Respiratory Acidosis: Severe thoracic trauma can impair lung expansion, leading to hypoventilation and CO₂ retention, causing respiratory acidosis.

A. Respiratory alkalosis B. Partially Compensated Metabolic Alkalosis C. Metabolic Acidosis D. Fully Compensated Respiratory Acidosis

Correct Answer is B

Explanation

A. Respiratory Alkalosis: Would have low PaCO2 (<35 mmHg), not high.

B. Partially Compensated Metabolic Alkalosis: The pH is high (alkalosis), and the HCO3 is elevated, which indicates metabolic alkalosis. The PaCO2 is high, meaning the lungs are attempting to compensate by retaining CO₂ to lower the pH. Because the pH is still abnormal, this is partial compensation.

C. Metabolic Acidosis: Would have low pH and low HCO3 (<22 mEq/L).

D. Fully Compensated Respiratory Acidosis: The primary problem is metabolic, not respiratory.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client is in a motor vehicle accident with a severe kidney injury and develops acute renal failure. Which acid-base imbalance is most likely to develop?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is in a motor vehicle accident with severe thoracic trauma. Which acid-base imbalance is most likely to develop?

Correct Answer is D

Explanation

A nurse is caring for a client with the following Arterial Blood Gases (ABG) pH 7.48, PaCO2 53, and HCO3 31. How would these be interpreted?

Correct Answer is B

Explanation

A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?

The nurse reviews the client's arterial blood gases and has the following results: pH 7.30. PaCO2 58, and HCO3 of 26. The nurse interprets these results that the client has which acid-base imbalance?

The nurse is teaching the client with hypernatremia about dietary restrictions. Which foods would the nurse tell them to avoid?

The client has just returned from OR with respirations of 8 per minute. What set of ABG's would the nurse expect to see?

The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients. Which intervention should the nurse perform?

What medication would the nurse prepare to give to reduce shivering in a hyperthermic client?

A nurse is caring for a client who had a total thyroidectomy and a low serum calcium level of 7.4 mg/dL. Which of the following findings should the nurse expect?

A nurse is caring for a client who has hyperkalemia and is to receive intravenous insulin. Which of the following should the nurse recognize as an adverse outcome?