Based on the ABG results: pH 7.33, CO2: 50, HCO3: 22, what acid-base imbalance is present?

Respiratory acidosis

Metabolic acidosis

Metabolic alkalosis

Respiratory alkalosis

Answer and Explanation

The Correct Answer is A

Choice A reason: Respiratory acidosis is indicated by a pH lower than the normal range (7.35-7.45), combined with a CO2 level higher than the normal range (35-45 mmHg). In this scenario, the pH is 7.33, which is slightly acidic, and the CO2 is 50, which is elevated, suggesting that the lungs are not adequately removing CO2.

Choice B reason: Metabolic acidosis is characterized by a low pH and a low HCO3 level. However, in this case, the HCO3 is normal (22-26 mEq/L), ruling out metabolic acidosis.

Choice C reason: Metabolic alkalosis would present with a high pH and a high HCO3 level. Since the pH is low, metabolic alkalosis is not the correct answer.

Choice D reason: Respiratory alkalosis is characterized by a high pH and a low CO2 level. Given that the pH is low and the CO2 is high, respiratory alkalosis is not the condition indicated by these ABG results.

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 A

Explanation

Choice A reason: Swelling and tenderness around a wound are common signs of infection. The body's inﬂammatory response to the invading bacteria causes these symptoms.

Choice B reason: Serosanguineous drainage, which is composed of both blood and a clear yellow liquid called serum, is typically a normal part of the healing process and not necessarily a sign of infection.

Choice C reason: Bromocriptine is a medication and not a sign of wound infection. This choice seems to be a distractor and does not relate to the clinical signs of a wound infection.

Choice D reason: Urticaria, also known as hives, is a reaction that can be caused by an allergy, stress, or other factors, and is not a direct sign of wound infection.

A. "Perform deep breathing every 2 hours around the clock." B. "Make sure chest and shoulders move when breathing." C. "Take a deep breath before each atempt to cough." D. "Sit up straight before beginning coughing exercises." E. Use a pillow to support the area when coughing

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

Explanation

Choice A reason: Performing deep breathing exercises every 2 hours helps prevent postoperative complications such as pneumonia and atelectasis.

Choice B reason: While chest movement is part of breathing, the instruction is incomplete and should emphasize diaphragmatic breathing rather than shoulder movement.

Choice C reason: Taking a deep breath before coughing helps to increase the eﬀectiveness of the cough, which can clear secretions from the lungs.

Choice D reason: Sitting up straight before beginning coughing exercises helps to ensure maximum lung expansion and eﬀectiveness of the cough.

Choice E reason: Using a pillow to support the surgical area when coughing can help reduce pain and protect the incision site, making the cough more eﬀective.

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

Based on the ABG results: pH 7.33, CO2: 50, HCO3: 22, what acid-base imbalance is present?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has manifested a wound infection?

Correct Answer is A

Explanation

A nurse is providing preoperative teaching about breathing exercises to a patient. Which of the following instructions should the nurse include? Select all that apply.

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

Explanation

A nurse is caring for a patient who has chronic kidney disease. Which of the following findings is a manifestation of hyperkalemia?

A nurse is assisting with teaching a patient who has constipation. Which of the following statements should the nurse include?

A nurse is caring for a patient who has respiratory acidosis. Which of the following pH levels should the nurse expect?

A nurse is conducting preoperative teaching with a client who is to undergo open abdominal surgery. Which of the following is important to prevent postoperative complications?

A nurse is obtaining informed consent from a patient who is scheduled for a total hip arthroplasty. Which of the following statements should the nurse include?

A nurse is reviewing the medical history of a patient who is preoperative for surgery. Which of the following findings places the patient at risk for a postoperative complication?

A patient is one day postoperative following an open thoracotomy. The patient is receiving oxygen mist at 40% by Venturi mask. The patient's ABG results are: pH 7.31, PaO2 93 mm Hg, PaCO2 50 mm Hg, HCO3 25 mEq/L. Which of the following is an appropriate action for the nurse?

A nurse is caring for a patient who is postoperative following foot surgery and is not to bear weight on the operative foot. The nurse enters the room to discover the patient hopped on one foot to the bathroom, using an IV pole for support. Which of the following actions should the nurse take?