Exam (elaborations)
Adult Care HESI prep- acid/base Quiz: Questions and Correct Answers
- Course
- ADULT HESI
- Institution
- Tarrant County College
Adult Care HESI prep- acid/base Quiz: Questions and Correct Answers
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Adult Care HESI prep-
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acid/base Quiz: Questions
and Correct Answers
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A
, The nurse is caring for a client with a nasogastric tube that is attached to low suction. The
nurse monitors the client, knowing that the client is at risk for which acid-base disorder? -
ANSWER Metabolic alkalosis
A client with a 3-day history of nausea and vomiting presents to the emergency
department. The client is hypoventilating and has a respiratory rate of 10 breaths/minute.
The electrocardiogram (ECG) monitor displays tachycardia, with a heart rate of 120
beats/minute. Arterial blood gases are drawn and the nurse reviews the results, expecting
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to note which finding? - ANSWER An increased pH with an increased HCO3
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The nurse caring for a client with an ileostomy understands that the client is most at risk
for developing which acid-base disorder? - ANSWER Metabolic acidosis
The nurse is caring for a client with diabetic ketoacidosis and documents that the client is
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experiencing Kussmaul's respirations. On the basis of this documentation, which pattern
did the nurse observe? - ANSWER Respirations that are abnormally deep, regular,
and increased in rate
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A client who is found unresponsive has arterial blood gases drawn and the results indicate
the following: pH is 7.12, Pco2 is 90 mm Hg, and HCO3 is 22 mEq/L. The nurse
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interprets the results as indicating which condition? - ANSWER Respiratory acidosis
without compensation
The nurse notes that a client's arterial blood gas results reveal a pH of 7.50 and a Pco2 of
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30 mm Hg. The nurse monitors the client for which clinical manifestations associated
with these arterial blood gas results? - ANSWER Clinical manifestations of
respiratory alkalosis include lethargy, lightheadedness, confusion, tachycardia,
dysrhythmias related to hypokalemia, nausea, vomiting, epigastric pain, and numbness
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and tingling of the extremities. Hyperventilation (tachypnea) occurs
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The nurse is caring for a client who is on a mechanical ventilator. Blood gas results
indicate a pH of 7.50 and a Pco2 of 30 mm Hg. The nurse has determined that the client
is experiencing respiratory alkalosis. Which laboratory value would most likely be noted
in this condition? - ANSWER Potassium level of 3.0 mEq/L (hypokalemia)
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