The nurse is aware that which of the following results when an increased concentration of hydrogen ions occurs within the body fluids?

carbon dioxide ions are retained

they become acidic

they become alkaline

oxygen ions are released into the blood

Answer and Explanation

The Correct Answer is B

Rationale:
A. Retention of carbon dioxide can lead to acidosis, but it is not a direct result of increased hydrogen ions.
B. An increased concentration of hydrogen ions (H⁺) lowers the pH of body fluids, making them acidic.
C. Fluids become alkaline when hydrogen ion concentration is low, not high.
D. Oxygen ions are not released as a response to hydrogen ion concentration changes.

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

Rationale:
A. Respiratory alkalosis results from hyperventilation, which is unlikely with opioid overdose.
B. Metabolic acidosis can occur from other causes but is not the primary imbalance here.
C. Metabolic alkalosis is not associated with opioid overdose.
D. Respiratory acidosis occurs due to hypoventilation caused by opioid-induced respiratory depression, leading to CO₂ retention and decreased pH.

A. Administer 50mL of sodium bicarbonate IV B. Apply oxygen by mask or nasal cannula C. Apply a paper bag over the client's nose and mouth D. Administer 50mL of 20% glucose and 20 units of regular insulin IV

Correct Answer is B

Explanation

Rationale:
A. Sodium bicarbonate may be used to correct acidosis, but oxygenation must be addressed first to prevent further deterioration.
B. The first priority is to improve oxygenation. Administering oxygen by mask or nasal cannula is the most immediate and effective way to increase PaO₂ and support respiratory function.
C. A paper bag is used for respiratory alkalosis, not acidosis—it would worsen hypoxemia.
D. Glucose and insulin are used for hyperkalemia, which is not the current priority.

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

The nurse is aware that which of the following results when an increased concentration of hydrogen ions occurs within the body fluids?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An emergency department nurse admits a client who has tried to commit suicide by taking an overdose of hydromorphone (Dilaudid), a narcotic. For which acid-base imbalance should the nurse assess this client for?

Correct Answer is D

Explanation

A nurse is caring for a client who has just experienced a 90-second tonic-clonic seizure. The arterial blood gas values are pH 6.88, PaO2 50 mmHg PaCO2 60 mmHg, and HCO3 22mEq/L. Which action should the nurse take first?

Correct Answer is B

Explanation

A nurse on a pediatric unit is receiving a report from an assistive personnel (AP). Which of the following clients should the nurse plan to visit first?

The nurse can record that the compensatory mechanism for the correction of metabolic acidosis is in effect when the nurse observes?

A nurse is collecting data from a client who has pneumonia and is experiencing acute respiratory acidosis. Which of the following manifestations should the nurse expect to find?

A client has been admitted with chronic obstructive pulmonary disease (COPD). Diagnostic tests have been ordered. Which of the tests will provide the most accurate indicator of the client's acid-base balance?

A nurse is reviewing the laboratory values for a client who takes spironolactone and notes that the client's serum potassium level is 6.8 mEq/L. The nurse notifies the provider and anticipates that the provider will provide which of the following instructions?

If a patient began vomiting and continued to do so for several hours, the nurse is aware that this loss of stomach contents can result in:

A nurse is collecting data from a client who has hypocalcemia. Which of the following findings should the nurse expect?