Question 1
1 out of 1 points
Describe 3 different nursing actions that could increase oxygenation in a client with
pneumonia and an acid base imbalance.
Selected
Answer:
1. Administer high flow oxygen therapy prn by face mask or at 5 to 6 L/min
to improve oxygen exchange.
2. Administer bron...
Question 1
1 out of 1 points
Describe 3 different nursing actions that could increase oxygenation in a client with
pneumonia and an acid base imbalance.
Selected 1. Administer high flow oxygen therapy prn by face mask or at 5 to 6 L/min
Answer: to improve oxygen exchange.
2. Administer bronchodilators such as albuterol to open the airways
3. Reposition the patient frequently to prevent the pooling of respiratory
secretions and to allow for better airway clearance.
Correct
Answer:
position with head of bed elevated, oxygen , encourage cough and deep
breathing, medication administration-be specific as to which meds
Question 2
1 out of 1 points
Arterial blood gas levels are obtained for the client. If the client’s results are pH 7.48,
CO2 42 mm Hg, and HCO3 32 mEq/L, the client is exhibiting which one of the following
acid-base imbalances?
Selected
Answer:
Metabolic
alkalosis
Answers: Metabolic
acidosis
Respiratory
acidosis
Respiratory
alkalosis
Metabolic
alkalosis
Question 3
0.7 out of 1 points
Analyze the following arterial blood gases (ABGs): pH 7.31, PaCO2 48mmHg, HCO3
26meq/L, PaO2 55mmHg.
Interpret the ABGs and discuss what is the most serious complication that you
anticipate?
Selected The client is experiencing respiratory acidosis. The most serious complication
, Answer: of this would be a dangerously low respiratory rate or hypoventilation. The
client will also not be breathing out enough CO2 and will be hypercapnic,
which is what makes the pH low/acidic.
Correct [None]
Answer:
Question 4
1 out of 1 points
The nurse is aware that the compensating mechanism that is most likely to occur in the
presence of respiratory acidosis is:
Selected
Answer:
Retention of HCO3 by the kidneys to increase
the pH level
Answers: Hyperventilation to decrease the CO2 levels
Hypoventilation to increase the CO2 levels
Retention of HCO3 by the kidneys to increase
the pH level
Excretion of HCO3 by the kidneys to decrease
the pH level
Question 5
1 out of 1 points
In a client with diabetic ketoacidosis, which of the following arterial blood gas results
demonstrates the greatest impairment in oxygenation?
Selected
Answer:
pH 7.14, PaCO2 47 mm Hg, HCO3 19 mEq/L, PaO2
40 mm Hg
Answers:
pH 7.14, PaCO2 47 mm Hg, HCO3 19 mEq/L, PaO2
40 mm Hg
pH 7.22, PaCO2 55mm Hg, HCO3 29 mEq/L, PaO2
80 mm H
Question 6
1 out of 1 points
Of all of the following clients, the nurse recognizes that the individual who is most at risk
for an acid base imbalance is:
, Selected
Answer:
A thirty year female with uncontrolled
diabetes type I
Answers: A 27 year old female smoker
An 80 year old male with a recent hip
fracture
A thirty year female with uncontrolled
diabetes type I
A 52 year old male with stage I heart
failure
Question 7
0 out of 1 points
A client with COPD and a new diagnosis of pneumonia is admitted to the hospital.
Arterial blood gas levels are drawn. The nurse anticipates which of the following arterial
blood gas results?
Question 8
0.7 out of 1 points
Based on the following vital signs results, describe what may be happening to the
client.
BP 148/81
HR 118
Respiratory Rate 26
PaO2 60mm Hg
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