A nurse is assisting with the care of a client who has chronic obstructive pulmonary disease (COPD) and is short of breath. When reviewing the client's arterial blood gases (ABGs), which of the following conditions should the nurse anticipate the client to be experiencing?

Respiratory acidosis

Respiratory alkalosis

Metabolic acidosis

Metabolic alkalosis

Answer and Explanation

The Correct Answer is A

A. Respiratory acidosis: COPD often results in impaired gas exchange and decreased removal of carbon dioxide, leading to its accumulation in the blood. This results in respiratory acidosis, characterized by elevated PaCO2 and a decreased pH.

B. Respiratory alkalosis: This condition is generally associated with hyperventilation, where excessive loss of carbon dioxide leads to a higher blood pH. It is less common in COPD, where hypoventilation is more typical.

C. Metabolic acidosis: While COPD can sometimes lead to metabolic acidosis, it is not the primary condition associated with the disease. Metabolic acidosis usually results from conditions affecting the kidneys or metabolic processes.

D. Metabolic alkalosis: This is characterized by an increased blood pH due to a loss of acid or an excess of bicarbonate. It is not typically associated with COPD.

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Correct Answer is D

Explanation

A. Impaired carbon dioxide elimination due to shunting: In ARDS, shunting can impair oxygenation but not directly carbon dioxide elimination. Shunting refers to blood flow through areas of the lung that are not ventilated properly, primarily affecting oxygenation.

B. Decreased pulmonary arterial pressure due to ventilation-perfusion (V/Q) mismatch: ARDS is typically associated with increased, not decreased, pulmonary arterial pressure due to the inflammatory process and reduced lung compliance. V/Q mismatch in ARDS usually results in elevated pulmonary arterial pressure.

C. Hypoxemia due to dead space: ARDS hypoxemia results from impaired gas exchange in damaged alveoli rather than dead space, which is more related to ventilation without perfusion.

D. Decreased pulmonary compliance due to stiffness: ARDS is characterized by decreased pulmonary compliance, which is due to the stiffening of lung tissue from inflammation and edema. This stiffness makes lung expansion more difficult and is a key feature of ARDS.

A. Clients who have had gastric bypass surgery B. Clients who have renal failure C. Clients receiving opioid pain medications D. Clients who are in the intensive care unit E. Clients undergoing hemodialysis

Correct Answer is ["A","B","D","E"]

Explanation

A. Clients who have had gastric bypass surgery: Gastric bypass surgery can lead to decreased absorption of nutrients, including magnesium, making these clients at higher risk for hypomagnesemia.

B. Clients who have renal failure: Renal failure can impair the kidneys' ability to excrete magnesium, potentially leading to hypomagnesemia.

C. Clients receiving opioid pain medications: Opioids are not directly associated with hypomagnesemia. They may have other side effects but do not typically cause low magnesium levels.

D. Clients who are in the intensive care unit: ICU patients are at risk for various electrolyte imbalances, including hypomagnesemia, due to critical illness, medications, and other factors.

E. Clients undergoing hemodialysis: Hemodialysis can lead to loss of magnesium, making these patients more susceptible to hypomagnesemia.

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A nurse is assisting with the care of a client who has chronic obstructive pulmonary disease (COPD) and is short of breath. When reviewing the client's arterial blood gases (ABGs), which of the following conditions should the nurse anticipate the client to be experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data for a client who has acute respiratory distress syndrome (ARDS). Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A charge nurse is providing an in-service to a group of nurses about hypomagnesemia. Which of the following should the charge nurse include as risk factors for this condition? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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