Which arterial blood gas result is most likely to result from renal failure?
pH 7.31, HCO3- 18 mEq/L, PaCO2 32 mm Hg
pH 7.29, HCO3- 25 mEq/L, PaCO2 51 mm Hg
pH 7.48, HCO3- 19 mEq/L, PaCO2 28 mm Hg
pH 7.52, HCO3- 28 mEq/L, PaCO2 36 mm Hg
The Correct Answer is A
Choice A reason: Renal failure causes metabolic acidosis (low pH, low HCO3) due to impaired acid excretion and bicarbonate reabsorption. The low PaCO2 indicates respiratory compensation (hyperventilation) to reduce acidity, matching renal failure’s acid-base profile, making this the correct choice.
Choice B reason: This shows respiratory acidosis (low pH, high PaCO2) with normal HCO3, suggesting lung dysfunction, not renal failure. Renal failure causes metabolic acidosis due to acid retention, not CO2 accumulation, making this choice incorrect.
Choice C reason: This indicates respiratory alkalosis (high pH, low PaCO2) with low HCO3, suggesting hyperventilation, not renal failure. Renal failure leads to metabolic acidosis from acid accumulation, not respiratory changes, making this choice incorrect.
Choice D reason: This shows metabolic alkalosis (high pH, high HCO3), not typical of renal failure, which causes acidosis due to impaired acid excretion. The normal PaCO2 suggests no respiratory compensation, making this choice incorrect for renal failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: High adipokine levels, as in obesity, promote insulin resistance by interfering with insulin signaling, not increasing glucose uptake. This reduces glucose uptake, contributing to hyperglycemia, but the description is inaccurate, making this choice incorrect.
Choice B reason: Type 2 diabetes involves insulin resistance due to insufficient or dysfunctional insulin receptors, reducing glucose uptake in cells, leading to hyperglycemia. This is a primary pathophysiological mechanism, often linked to obesity, making this the correct choice.
Choice C reason: Increased insulin secretion occurs early in type 2 diabetes to compensate for insulin resistance, but the primary issue is receptor dysfunction, not increased secretion. Over time, beta cells may fail, making this choice incorrect.
Choice D reason: Autoimmune destruction of beta cells describes type 1 diabetes, not type 2. Type 2 involves insulin resistance and relative insulin deficiency, not massive beta cell loss, making this choice incorrect for type 2 diabetes.
Correct Answer is C
Explanation
Choice A reason: Diarrhea is not a typical feature of autonomic dysreflexia, which involves sympathetic overactivity causing vasoconstriction. Bowel dysfunction may occur in spinal cord injury, but it is not specific to dysreflexia, making this incorrect.
Choice B reason: Tachycardia can occur in autonomic dysreflexia due to sympathetic stimulation, but it is less specific than headache, which is a hallmark symptom from severe hypertension, making this choice incorrect.
Choice C reason: Autonomic dysreflexia, often triggered by stimuli below the injury level, causes severe hypertension, leading to a pounding headache due to increased intracranial pressure. This is a hallmark symptom, making this the correct choice.
Choice D reason: Hypotension is not associated with autonomic dysreflexia, which causes hypertension from unopposed sympathetic responses. Hypotension may occur in spinal shock, not dysreflexia, making this choice incorrect.
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