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BSN 366 Acid-Base Imbalances Questions With Complete Solutions
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BSN 366 Acid-Base Imbalances Questions With Complete Solutions
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BSN 366 Acid-Base Imbalances Questions With CompleteSolutions
Assessment Related to Acid-Base Balance
Question 1 of 4
Match the system with the accurate clinical manifestation for
respiratory acidosis.
Cardiovascular
=Tachycardia
Neurological
=Headache
Respiratory
=Dyspnea -
Assessment Related To Electrolyte Balance
Question 1 of 4
Which clinical manifestations should the nurse anticipate when
assessing a patient who is diagnosed with hypernatremia?
Select all that apply.
Hyperactive deep tendon reflexes
Confusion
Thirst
Lethargy
Seizures - Confusion
Thirst
Lethargy
Seizures
Mr. Abdul, a 76-year-old male, has been admitted to the hospital
with complaints of having shortness of breath, headaches and
blurred vision, fatigue, and increased anxiety for the past week.
,He has begun experiencing tremors in his hand. The tremors
were so severe he was unable to fix his dinner or take his
medication. He reports that he has had increasing trouble
keeping his balance when walking and had to borrow a friend's
cane for balance. He has a history of type I diabetes mellitus
(DM), treated with a daily dose of insulin with breakfast. He has
smoked one pack of cigarettes per day for 56 years. He was
diagnosed with chronic obstructive pulmonary disease (COPD)
three years ago. He has no known drug allergies (NKDA). -
Temperature 36.5 °C (97.7 °F)
Pulse 118 regular
Respirations 32 and labored
BP 160/100 mm Hg
Pulse oximetry 90% on room air
ABG on room air: pH 7.2, PaCO2 60 mm Hg, PaO2 73 mm Hg,
HCO3− 25 mEq/L
Urine ketones: +2
Other assessment findings to note include:
Reflexes are +1 bilaterally.
Gait is slow and unsteady, frequently reaches out to wall or
furniture to steady self.
Denies pain but is very restless.
Anxious demeanor. Slow to respond to questions. Unsure about
answers to some current events' questions.
Skin is warm, dry, and slightly pale.
Reported sleep quality is good and he says he sleeps about 10
hours at night and takes two naps during the daytime.
Impaired Gas Exchange
Acute Confusion
Self-Care Deficit
, Question 1 of 12
A patient is admitted with an acid-base imbalance. The patient's
current assessment data includes hypotension and dysrhythmia.
Which is the priority nursing diagnosis that the nurse should
include in the plan of care?
Decreased Cardiac Output
Acute Confusion
Impaired Gas Exchange
Fatigue - Decreased Cardiac Output
Acid-base imbalance, coupled with hypotension and
dysrhythmia, indicates a priority nursing diagnosis of Decreased
Cardiac Output.
Question 1 of 4
Place the steps the nurse uses to analyze ABGs in the correct
order.
1. Evaluate the PaO2 and O2 saturation level.
2. Evaluate the pH to determine if it is acidotic, alkalotic, or
within normal range.
3. Evaluate the PaCO2 and HCO3- to determine if the imbalance
is respiratory or metabolic.
4. Evaluate whether or not compensation is occurring. - The
steps the nurse should take to analyze an ABG are to first
evaluate the PaO2 and O2 saturation levels to determine if
hypoxemia is occurring. The next step is to evaluate the pH to
determine if it is acidotic, alkalotic, or within normal limits. The
third step is to evaluate the PaCO2 and HCO3- to determine if
the imbalance is respiratory or metabolic. The final step is to
determine if compensation is occurring.
Question 1 of 4
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