MDC2 Study guide
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The nurse is caring for a client that presented with an asthma attack. The client was working out and forgot to take an inhaler. The respiratory rate is 24 breaths per minute. The pulse oximeter is 85% on room air. The arterial blood gas (ABG) is as follows: pH:7.33, PaCO2: 50 mm Hg, paO2: 70 mm Hg, HCO3: 26 mEq/L. What acid-base deficit is the client experiencing?
E. Respiratory acidosis with partial metabolic compensation
F. Respiratory acidosis with full metabolic compensation
G. Metabolic acidosis with full respiratory compensation
H. Metabolic alkalosis without compensation
A nurse is educating a Type 1 diabetic with metabolic acidosis. Which of the following statements indicates the teaching has been effective on the cause of metabolic acidosis?
a. metabolic acidosis can occur due to diabetic ketoacidosis
b. metabolic acidosis can occur due to excessive vomiting
c. metabolic acidosis can occur due to excessive urination
d. metabolic acidosis can occur due to overhydration
A nurse is caring for a client admitted with acute confusion and weakness. The client admitted to ingesting a large amount of aspirins. Vital signs reveal blood pressure 102/70 mm Hg. Heart rate 120 beats/minute and deep respirations at 42 breaths/minute. Arterial blood gas (ABG) results reveal pH. 7.2 paco2 35 mm hg, paO2 90MM HG, and HCO3 18 meq/L. how does the nurse interpret these results?
a. Metabolic acidosis without compensation
b. Respiratory acidosis without compensation
c. Metabolic alkalosis with partial respiratory compensation
d. Metabolic acidosis with full respiratory compensation
The nurse is caring for a client who recently ingested a large amount of antacids. Which of the following conditions is this client at risk for?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory alkalosis
d. Respiratory acidosis
34. When assessing arterial blood gas (ABG) results, what is the first step that the nurse should take for interpretation?
A. Check for compensation
B. Notify the healthcare provider
C. Determine the primary cause
D. Determine oxygenation
What condition(s) does the nurse anticipate in a client with metabolic acidosis? ( select all thatapply)
A. Diabetic ketoacidosis
B. seizure activity
C. starvation
D. kidney failure
E. Airway obstruction
