A patient's blood gases show a pH of 7.53, PCO2 of 48, and HCO3 of 36 mEq/L. The nurse realizes that the acid-base disorder this patient is demonstrating is which of the following?
Respiratory Acidosis
Respiratory Alkalosis
Metabolic Alkalosis
Metabolic Acidosis
The Correct Answer is C
Choice A reason: Respiratory Acidosis is characterized by a low pH and a high PCO2, which is not the case here.
Choice B reason: Respiratory Alkalosis would involve a high pH and a low PCO2, which is not consistent with the patient's PCO2 level.
Choice C reason: Metabolic Alkalosis is indicated by a high pH and a high HCO3, which matches the patient's blood gas values.
Choice D reason: Metabolic Acidosis would show a low pH and a low HCO3, which is the opposite of this patient's presentation.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A negative urine dipstick for nitrites is more indicative of a lack of bacterial infection and is not directly related to glomerulonephritis.
Choice B reason: While the absence of pain or burning with voiding is positive, it does not specifically indicate the resolution of glomerulonephritis.
Choice C reason: The resolution of periorbital and peripheral edema is a sign that the treatment for glomerulonephritis has been effective, as edema is a common symptom of this condition.
Choice D reason: A decrease in the anti-streptolysin-O (ASO) titer may indicate a response to treatment for a streptococcal infection, but it is not the most direct indicator of effective treatment for glomerulonephritis.
Correct Answer is C
Explanation
Choice A reason: Recording the client's intake and output is important but not the highest priority in an unconscious patient following a cerebral hemorrhage.
Choice B reason: Performing passive range of motion exercises is a lower priority compared to maintaining a patent airway.
Choice C reason: Suctioning saliva from the client's mouth is the highest priority to maintain airway patency and prevent aspiration, which is critical for an unconscious patient.
Choice D reason: Monitoring the client's electrolyte levels is important but secondary to immediate life-saving interventions such as maintaining airway patency.
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