A nurse is providing care for a client with emphysema, The nurse reviews the results of the arterial blood gases and determines the client is experiencing respiratory acidosis. The nurse would expect to find which of the following on the laboratory results?

pH 7.35, pCO2 42 mmHg

pH 7.50, pCO2 28 mmHg

pH 7.40, pCO2 43mmHg

pH 7.25. pCO2 55 mmHg

Answer and Explanation

The Correct Answer is D

Rationale:
A. A pH of 7.35 and pCO₂ of 42 mmHg are both within normal limits, indicating no acidosis.
B. A pH of 7.50 and pCO₂ of 28 mmHg indicate respiratory alkalosis, not acidosis.
C. A pH of 7.40 and pCO₂ of 43 mmHg are normal values, not consistent with acidosis.
D. A pH of 7.25 is acidic, and a pCO₂ of 55 mmHg is elevated, indicating respiratory acidosis, which is expected in a client with emphysema due to CO₂ retention.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

Rationale:
A. A potassium level of 4.9 mEq/L is within the normal reference range (typically 3.5–5.0 mEq/L), indicating that the hyperkalemia has been successfully corrected.
B. A potassium level of 5.5 mEq/L is still above normal and does not suggest full effectiveness of the treatment.
C. A potassium level of 6.2 mEq/L remains critically high and indicates that the medication was not effective.
D. A potassium level of 5.8 mEq/L is still elevated and may continue to pose cardiac risks, suggesting partial or no effectiveness.

A. Metabolic alkalosis B. Metabolic acidosis C. Respiratory acidosis D. Respiratory alkalosis

Correct Answer is C

Explanation

Rationale:
A. Metabolic alkalosis is related to an excess of bicarbonate or loss of acid, not CO₂ retention.
B. Metabolic acidosis is caused by the accumulation of acids (like in renal failure or DKA), not respiratory dysfunction.
C. Respiratory acidosis occurs when the lungs fail to excrete enough CO₂, leading to CO₂ retention and a decrease in blood pH. This is commonly seen in conditions like COPD, respiratory depression, or airway obstruction.
D. Respiratory alkalosis results from excessive elimination of CO₂, such as in hyperventilation, which is the opposite of what is described.

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 providing care for a client with emphysema, The nurse reviews the results of the arterial blood gases and determines the client is experiencing respiratory acidosis. The nurse would expect to find which of the following on the laboratory results?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a critically high potassium level. The client has received sodium polystyrene sulfonate (Kayexalate). The nurse determines the medication's effectiveness if the client's repeat serum potassium level is:

Correct Answer is A

Explanation

The failure of the lungs to adequately eliminate CO2 results in?

Correct Answer is C

Explanation

Convert traditional time of 4:37pm to military time

Use Case Study to answer the following questions. Exhibits Which nursing intervention is most appropriate when administering IV potassium chloride?

A nurse is assisting with the admission of a client who is hyperventilating, reports lightheadedness and paresthesias, has blurred vision, and a new onset of confusion. The nurse should suspect that the client has developed which of the following imbalances?

A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor? (Select 3 manifestations)

A nurse prepares to interpret the ABG values of a client diagnosed with an acid-base imbalance. Which values are most important for the nurse to consider? (Select 4 options that apply.)

A nurse is caring for a client diagnosis with uncompensated metabolic alkalosis secondary to prolonged vomiting. When reviewing this client's laboratory data, which value should the nurse anticipate?

When caring for a client with an acid-base imbalance, which serum electrolytes are essential for a nurse to monitor? (Select 2 that apply)

A nurse is reviewing the medical record of an adolescent and notes a calcium level of 11.4 mEq/L. Which of the following findings should the nurse expect?