The nurse reviews the arterial blood gas (ABG) results of a client and notes the results:
pH 7.46 pH units, [normal range: 7.35-7.45]
Paco2 of 30 mm Hg (30 mmol/L), [normal range: 35-45]
HCO3- of 20 mEq/L (20 mmol/L). [normal range [22-26]
When analyzing the client's ABG results, which condition would the nurse determine the client is experiencing?
Metabolic acidosis
Metabolic alkalosis
Respiratory alkalosis
Respiratory acidosis
The Correct Answer is C
A. Metabolic acidosis would present with a low pH and low HCO3-.
B. Metabolic alkalosis would show elevated HCO3- with a normal or elevated PaCO2.
C. The elevated pH and decreased PaCO2 indicate respiratory alkalosis, likely due to hyperventilation.
D. Respiratory acidosis would involve a low pH and high PaCO2.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Completing an incident report is important but comes after ensuring the client's safety.
B. The priority is assessing the client for any adverse reactions or complications related to the incorrect medication.
C. Notifying the nurse manager should follow after the assessment and client stabilization.
D. The provider should be notified after assessing the client and identifying any clinical concerns.
Correct Answer is ["B","C","D"]
Explanation
A. Pale yellow urine would not be expected, as dehydration often leads to concentrated, dark urine.
B. Flat neck veins are a sign of dehydration and decreased fluid volume.
C. Hypotension is expected with dehydration due to a drop in circulating blood volume.
D. Poor skin turgor is a common indicator of dehydration as the skin loses elasticity.
E. Bradycardia is not expected; rather, tachycardia is more common in dehydration as the body tries to compensate for fluid loss.
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