Upgrade to remove ads Show Only ₩37,125/year
Terms in this set (40)Which arterial blood gas result does the nurse anticipate in the care of a patient diagnosed with acute kidney failure? pH 7.33, Pao 2 82 mm Hg, Paco 2 35 mm Hg, HCO 3 - 19 mEq/L After a motor vehicle crash, the nurse is consoling a patient in the emergency department who is hysterical and hyperventilating after being notified of the death of a family member. What acid-base imbalance is this patient likely to develop? Respiratory alkalosis A patient admitted with diabetic ketoacidosis was treated for metabolic acidosis with IV fluids and insulin. Which electrolyte imbalance does the nurse monitor for as the acid-base imbalance resolves? Hypokalemia Which patient would be appropriate to assign to the new nurse working on the medical-surgical unit? Patient with emphysema and cellulitis with a Paco 2 level of 58 mm Hg A patient in acute respiratory distress from an asthma attack becomes more confused. Respirations remain rapid, but are more shallow. The most recent blood gas results are pH 7.29, Pao 2 62 mm Hg, Paco 2 56 mm Hg, HCO 3 - 25 mEq/L. What is the nurse's priority intervention? Call the Rapid Response Team. Which electrolyte imbalance is the patient with metabolic acidosis at risk to develop? Hyperkalemia A patient has chronic respiratory acidosis. Which nursing assessments are appropriate for this patient? Assessing the color of nail beds. The nurse obtains lab results for a 50-year-old patient with the following results: pH 7.24; bicarbonate 20; Pao 2 82; Paco 2 35. These findings are consistent with which acid-base imbalance? Metabolic acidosis The nurse is assessing patients with acid-base imbalances. Which patient has a diagnosis that correctly correlates with the patient's manifestation? Patient A has metabolic acidosis. A morbidly obese patient has chosen gastric bypass surgery to promote weight loss. The nurse plans to teach the patient about the need to perform monitoring to detect what disturbance consistent with rapid weight loss associated with this procedure? Ketosis The nurse is caring for a critically ill patient with septic shock. The serum lactate level is 6.2. For which acid-base disturbance should the nurse assess? Metabolic acidosis While assessing a patient with metabolic acidosis, the nurse suspects that the patient has lactic acidosis. The nurse makes the conclusion based on what finding? The patient has symptoms of hypoxia. A patient is recovering from an acute episode of chronic obstructive pulmonary disease (COPD). Which nursing action is the greatest priority in the plan of care? Monitor the respiratory rate and effort hourly. The nurse is caring for a patient with hypoxemia and metabolic acidosis. Which task can be delegated to the nursing assistant who is helping with the patient's care? Apply the pulse oximeter for continuous readings. A patient having continuous nasogastric (NG) suction after abdominal surgery has become irritable and anxious. An assessment reveals hyperreflexia, the patient's heart rate is 90 beats/min, and the respiratory rate is 24 breaths/min. Which action by the nurse is correct? Request an order to evaluate serum electrolytes and disruption of NG suction. When caring for a patient with metabolic acidosis, what must the nurse keep in mind regarding acid-base chemistry? Fluids with lower pH have higher acidity. A nurse is assessing a patient with metabolic and respiratory acidosis. What manifestations does the nurse anticipate finding in the patient? Flaccid paralysis The nurse has just received a report on a patient being admitted from the emergency department (ED). Which items from the report would contribute to the development of metabolic acidosis? Reported
heavy alcohol consumption A patient is admitted from the emergency department for intravenous (IV) fluids to treat dehydration caused by several days of vomiting and diarrhea. The patient's admission venous blood work reveals a pH of 7.27 and bicarbonate of 26 mEq/L; potassium and chloride levels are within normal ranges. The provider has ordered adding bicarbonate to the IV fluids. Which action by the nurse is correct? Hold the bicarbonate and report the laboratory values to the provider. An older patient is admitted with pneumonia. What changes in the patient does the nurse expect to assess when obtaining data about the patient's acid-base imbalance? New-onset mental status changes The nurse is assessing the laboratory profiles of patients with acid-base imbalances. Which patient diagnosis correctly correlates to the appropriate lab values? Patient D has respiratory depression. Which patient is most likely to exhibit the following ABG results: pH 7.30; Paco 2 49; HCO 3 - 26; Pao 2 76? Patient taking hydromorphone Which prescribed intervention does the nurse implement first for a patient with metabolic acidosis from shock? Administer intravenous fluids. The nurse suspects that a patient has developed metabolic acidosis because of an overproduction of hydrogen ions. The nurse makes the conclusion based on what assessment findings? The patient has been fasting for 30 days. When evaluating the laboratory results of a patient with diabetic ketoacidosis, which lab value indicates the body has fully compensated from this acid-base imbalance? Normal pH on arterial blood gases The nurse is reviewing assessment data for a patient who was admitted for emergency treatment of an acute asthmatic episode. Which assessment data suggest the patient is in an uncompensated acid-base imbalance? Bicarbonate of 24 mEq/L Which acid-base imbalance does the nurse anticipate the patient with morbid obesity may develop? Respiratory acidosis The nurse is caring for a patient with metabolic alkalosis. What manifestations of metabolic alkalosis is the nurse likely to assess? Numbness around the mouth A patient currently taking acetazolamide develops metabolic acidosis. Which nursing interventions are appropriate for the nurse to include in the plan of care? Administering IV fluids. Which arterial blood gas reading does the nurse anticipate in a patient diagnosed with chronic obstructive pulmonary disease (COPD)? pH 7.36, Pao 2 63 mm Hg, Paco 2 52 mm Hg, HCO 3 - 32 mEq/L The laboratory reports of a patient show the patient has metabolic alkalosis. What conditions may result in metabolic alkalosis? Nasogastric suctioning What is one of the causes of respiratory alkalosis? Anxiety Which assessment finding requires priority nursing intervention in a patient with metabolic or respiratory acidosis? Bradycardia with widened QRS complex What is taking place in the body when hyperventilation occurs? The central nervous system is responding to a rise in carbon dioxide. Which electrolyte abnormality does the nurse anticipate when reviewing laboratory data for a patient admitted with metabolic acidosis? Hyperkalemia A patient has been poisoned by botulinum toxins. What assessment findings suggest the patient has acidosis? Confusion Which arterial blood gas laboratory values would be seen in metabolic alkalosis? pH 7.49, HCO 3 -32 Lab results for a 62-year-old patient show the following results: pH 7.48; bicarbonate 26; Pao 2 90; Paco 2 32. These findings are consistent with which acid-base imbalance? Respiratory alkalosis Deep and rapid breaths consistent with Kussmaul respirations are found in patients with which type of acid-base imbalance? Metabolic acidosis What is one of the causes of acidosis? Kidney failure Students also viewedNUR 300 Sherpath : Electrolytes, Acids and bases,…47 terms emilyduffs98 Acid /Base EAQ97 terms ginicarts Module 1 Chapter 12: Assessment and Care of Patien…24 terms FutureRN-Js MEDSURG: AQ - Chapter 12, Assessment and Care of P…13 terms paytonroberts17 Sets found in the same folderMed-Surg: Adaptive Quizzing: Chapter 1142 terms annoymous_giraffe Med Surg 1 Chapter 1220 terms Aderig01 Exam 3: Ch. 12 Acid Base Balance and Imbalance22 terms chelsea_decker
Module 1 Chapter 12: Assessment and Care of Patien…24 terms FutureRN-Js
Other sets by this creatorJurispurdence Exam63 terms datgirl_harris NCLEX study cardss12 terms datgirl_harris Sedation17 terms datgirl_harris Test 462 terms datgirl_harris Recommended textbook solutions Foundations for Population Health in Community and Public Health Nursing5th EditionJeanette Lancaster, Marcia Stanhope 156 solutions
Introduction to Epidemiology7th EditionRay M. Merrill 237 solutions Health16th EditionRebecca J. Donatelle 391 solutions Pathophysiology6th EditionJacquelyn Banasik 362 solutions Other Quizlet setsPathophysiology exam 2263 terms adrianalozano209 Week 7 Cholinergic Agonist29 terms Elona_Orel9 Focused Review Exam 2 (SEM 2)46 terms tully_wise Fluid & Electrolyte Quiz20 terms madisoncalhoun What lab values would you expect to see with metabolic alkalosis?Normal human physiological pH is 7.35 to 7.45. A decrease in pH below this range is acidosis, an increase over this range is alkalosis. Metabolic alkalosis is defined as a disease state where the body's pH is elevated to greater than 7.45 secondary to some metabolic process.
Which arterial blood gas values are consistent with metabolic alkalosis?The PaCO2 is elevated, indicating respiratory acidosis, and the HCO3 is elevated, indicating a metabolic alkalosis. The value consistent with the pH is the PaCO2.
Which arterial blood gas values are consistent with metabolic alkalosis quizlet?When evaluating arterial blood gases (ABGs), which value is consistent with metabolic alkalosis? pH 7.48 - Metabolic alkalosis is a clinical disturbance characterized by a high pH and high plasma bicarbonate concentration.
Which ABG results are expected with metabolic acidosis?This ratio should be between 1.0 and 2.0 if an uncomplicated anion gap metabolic acidosis is present. If this ratio falls outside of this range, then another metabolic disorder is present: If ∆AG/∆[HCO3-] < 1.0, then a concurrent non-anion gap metabolic acidosis is likely to be present.
|
Which arterial blood gas laboratory values would be seen in metabolic alkalosis Quizlet
zusammenhängende Posts
Urheberrechte © © 2024 decemle Inc.
