A nurse is caring for a client who has acute kidney injury. The client's ABGS are:

PH:7.26

PaCO2: 30 mm Hg

HCO3: 14 mEq/L

Which of the following acid-imbalances should the nurse identify the client is experiencing?

Metabolic alkalosis

Respiratory acidosis

Respiratory alkalosis

Metabolic acidosis

Answer and Explanation

The Correct Answer is D

(A) Metabolic alkalosis: This condition is characterized by a high blood pH (>7.45) and a high bicarbonate level (>26 mEq/L). The client’s pH and bicarbonate levels are both lower than normal, which rules out metabolic alkalosis.

(B) Respiratory acidosis: This condition is characterized by a low blood pH (<7.35) and a high PaCO2 level (>45 mm Hg). Although the client’s pH is low, the PaCO2 level is also low, which rules out respiratory acidosis.

(c) Respiratory alkalosis: This condition is characterized by a high blood pH (>7.45) and a low PaCO2 level (<35 mm Hg). The client’s pH is low, which rules out respiratory alkalosis.

(D) Metabolic acidosis: This condition is characterized by a low blood pH (<7.35) and a low bicarbonate level (<22 mEq/L). The client’s pH is 7.26 and bicarbonate level is 14 mEq/L, both of which are lower than normal. This indicates metabolic acidosis, which is common in clients with acute kidney injury as the kidneys are unable to excrete hydrogen ions and reabsorb bicarbonate. Therefore, the nurse should identify that the client is experiencing 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. Open access peer-reviewed articles must be purchased by the user: This is not accurate. Open access articles are freely available to the public and do not require purchase.

B. Editorial opinion articles by journalists can be as relevant as peer-reviewed articles: While editorial opinion articles can provide valuable insights, they are not subjected to the same rigorous review process as peer-reviewed articles. Therefore, they are not considered as reliable or authoritative as peer-reviewed articles.

C. Peer-reviewed articles are not considered scholarly sources of evidence: This is incorrect. Peer-reviewed articles are considered one of the highest levels of scholarly sources of evidence. They have been reviewed and approved by experts in the field before publication.

D. Peer-reviewed articles have been through laborious review by other professionals: This is correct. Peer-reviewed articles undergo a rigorous review process by experts in the field, ensuring the research is of high quality and the findings are valid.

A. "Quantitative research aims to understand the feelings associated with a particular event." B. "Qualitative research studies how to implement EBP into various settings" C. "Quantitative research analyzes collected data using statistical methods." D. "Qualitative research uses larger sample sizes than quantitative research"

Correct Answer is C

Explanation

Quantitative research involves the collection and analysis of numerical data to answer research questions and test hypotheses. Statistical methods are used to analyze the data and draw conclusions about relationships, differences, or effects.

A. "Quantitative research aims to understand the feelings associated with a particular event":

This statement is incorrect. Quantitative research focuses on measurable data and is concerned with objective observations rather than subjective feelings or experiences.

B. "Qualitative research studies how to implement EBP into various settings":

This statement is incorrect. Qualitative research explores subjective experiences, perceptions, and meanings to gain a deeper understanding of phenomena. It is not specifically focused on implementing evidence-based practice (EBP) into various settings.

D. "Qualitative research uses larger sample sizes than quantitative research":

This statement is incorrect. Qualitative research typically involves smaller sample sizes compared to quantitative research. The emphasis in qualitative research is on depth and richness of data rather than statistical generalizability.

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 nurse is caring for a client who has acute kidney injury. The client's ABGS are: PH:7.26 PaCO2: 30 mm Hg HCO3: 14 mEq/L Which of the following acid-imbalances should the nurse identify the client is experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing an in-service about evidence-based practice (EBP). Which of the following information should the nurse include about peer-reviewed sources of information?

Correct Answer is D

Explanation

A charge nurse is discussing qualitative and quantitative research with a newly licensed nurse. Which of the following statements should the charge nurse make?

Correct Answer is C

Explanation

A nurse is reviewing the ABG values of a client who has chronic bronchitis and reports dyspnea with minimal exertion. Which of the following acid- base imbalances should the nurse suspect?

A nurse is assisting with teaching a class about documenting blood pressure. The nurse should include to document which of the following information? (Select All that Apply)

A nurse is collecting data from a client who is at the end of life. Which of the following findings should the nurse expect?

A nurse is discussing the process of evidence-based practice with a newly licensed nurse. Which of the following information should the nurse include when discussing a PICOT question?

A nurse is collecting data from a client prior to administering a calcium channel blocker (CCB) for treatment of hypertension. For which of the following findings should the nurse contact the provider?

A nurse is reinforcing preoperative teaching with a client who is to undergo open abdominal surgery. Which of the following interventions should the nurse include to prevent of postoperative complications?

A nurse is caring for a client who has acute kidney injury. The client's ABGS are:

PH:7.26

PaCO2: 30 mm Hg

HCO3: 14 mEq/L

Which of the following acid-imbalances should the nurse identify the client is experiencing?