The registered nurse reviews the result of the arterial blood gas values with the licensed practical nurse and tells the LPN that the client has respiratory acidosis. The LPN would expect to note which of the following on the laboratory result report?
pH 7.50, PCO2 30 mmHg
pH 7.45, PCO2 52 mmHg
pH 7.25, PCO2 50 mmHg
pH 7.35, PCO2 40 mmHg
The Correct Answer is C
Choice A reason: This is incorrect because this represents respiratory alkalosis, not acidosis. Respiratory alkalosis is characterized by a high pH and a low PCO2.
Choice B reason: This is incorrect because this represents a mixed disorder, not a pure respiratory acidosis. A mixed disorder occurs when both the pH and the PCO2 are abnormal, but in opposite directions.
Choice C reason: This is correct because this represents respiratory acidosis. Respiratory acidosis is characterized by a low pH and a high PCO2.
Choice D reason: This is incorrect because this represents normal values, not respiratory acidosis. Normal values for pH and PCO2 are 7.35 to 7.45 and 35 to 45 mmHg, respectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A"}
Explanation
Choice A reason: Diffusion is the process by which small ions such as glucose, oxygen, and carbon dioxide redistribute themselves through semipermeable membranes from areas of higher concentration to areas of lower concentration. This is how these molecules move across the cell membrane and the capillary wall.
Choice B reason: Osmosis is the process by which water moves through semipermeable membranes from areas of lower solute concentration to areas of higher solute concentration. This is how water balance is maintained across the cell membrane and the capillary wall.
Choice C reason: Blood pressure is the force exerted by the blood on the walls of the blood vessels. It is not a process by which small ions redistribute themselves through semipermeable membranes, but rather a factor that influences the movement of fluids and solutes across the capillary wall.
Choice D reason: Rehydration is the process of restoring the fluid balance in the body by drinking fluids or receiving intravenous fluids. It is not a process by which small ions redistribute themselves through semipermeable membranes, but rather a treatment for dehydration.
Correct Answer is D
Explanation
Choice A reason: Producing phosphate buffers is not the main function of the kidneys in response to acid-base disturbances. Phosphate buffers are mainly found in the intracellular fluid and the urine, where they help to maintain the pH by binding or releasing hydrogen ions.
Choice B reason: Adjusting PaCO2 levels is not the function of the kidneys, but rather the function of the lungs in response to acid-base disturbances. The lungs regulate the PaCO2 levels by increasing or decreasing the rate and depth of respiration, which affects the amount of carbon dioxide exhaled.
Choice C reason: Producing protein buffers is not the function of the kidneys, but rather the function of the cells and the plasma in response to acid-base disturbances. Protein buffers are the most abundant and versatile buffers in the body, as they can act as acids or bases by donating or accepting hydrogen ions.
Choice D reason: Excreting or reabsorbing hydrogen or bicarbonate is the main function of the kidneys in response to acid-base disturbances. The kidneys regulate the HCO3- levels by either reabsorbing it from the filtrate or generating it from carbon dioxide and water. The kidneys also regulate the hydrogen ion levels by either excreting it into the urine or exchanging it for sodium ions.
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