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A nurse is reviewing the arterial blood gas values for a client.
The pH is 7.32, PaCO₂ 48 mm Hg and the HCO₃ is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid-base balances?

Metabolic acidosis.

Metabolic alkalosis.

Respiratory alkalosis.

Respiratory acidosis.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Metabolic acidosis is characterized by a low pH and decreased HCO₃ levels, not increased PaCO₂.

Choice B rationale

Metabolic alkalosis presents with an elevated pH and increased HCO₃ levels, which do not match the given values.

Choice C rationale

Respiratory alkalosis is indicated by a high pH and decreased PaCO₂, opposite of the provided values.

Choice D rationale

Respiratory acidosis is identified by a low pH, elevated PaCO₂, and normal HCO₃, aligning with the provided values.

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Correct Answer is B

Explanation

Choice A rationale

Respiratory alkalosis involves low carbon dioxide levels, which is not typical in COPD exacerbations.

Choice B rationale

Respiratory acidosis occurs due to impaired gas exchange and carbon dioxide retention in COPD.

Choice C rationale

Metabolic acidosis results from renal or metabolic issues, not primarily respiratory issues like in COPD.

Choice D rationale

Metabolic alkalosis involves high bicarbonate levels and is not typically associated with COPD exacerbations. .

A. Hypertension. B. Hypoglycemia. C. Altered mental status. D. Elevated WBC count. E. Vomiting.

Correct Answer is ["C","D","E"]

Explanation

Choice A rationale

Hypertension is not a typical manifestation of sepsis; sepsis usually involves hypotension.

Choice B rationale

Hypoglycemia is not a common manifestation of sepsis; hyperglycemia is more typical.

Choice C rationale

Altered mental status can occur due to the systemic inflammation and infection affecting the brain.

Choice D rationale

An elevated WBC count indicates an immune response to infection, which is a common sign of sepsis.

Choice E rationale

Vomiting can occur due to the body's response to the infection and systemic inflammation.

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A nurse is reviewing the arterial blood gas values for a client.The pH is 7.32, PaCO₂ 48 mm Hg and the HCO₃ is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid-base balances?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for 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?

Correct Answer is B

Explanation

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Correct Answer is ["C","D","E"]

Explanation

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A nurse is reviewing the arterial blood gas values for a client.
The pH is 7.32, PaCO₂ 48 mm Hg and the HCO₃ is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid-base balances?