A nurse is caring for a client who has acute kidney injury. The client's ABGS are:
PH:7.26
PaCO2: 30 mm Hg
HCO3: 14 mEq/L
Which of the following acid-imbalances should the nurse identify the client is experiencing?
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
Metabolic acidosis
The Correct Answer is D
(A) Metabolic alkalosis: This condition is characterized by a high blood pH (>7.45) and a high bicarbonate level (>26 mEq/L). The client’s pH and bicarbonate levels are both lower than normal, which rules out metabolic alkalosis.
(B) Respiratory acidosis: This condition is characterized by a low blood pH (<7.35) and a high PaCO2 level (>45 mm Hg). Although the client’s pH is low, the PaCO2 level is also low, which rules out respiratory acidosis.
(c) Respiratory alkalosis: This condition is characterized by a high blood pH (>7.45) and a low PaCO2 level (<35 mm Hg). The client’s pH is low, which rules out respiratory alkalosis.
(D) Metabolic acidosis: This condition is characterized by a low blood pH (<7.35) and a low bicarbonate level (<22 mEq/L). The client’s pH is 7.26 and bicarbonate level is 14 mEq/L, both of which are lower than normal. This indicates metabolic acidosis, which is common in clients with acute kidney injury as the kidneys are unable to excrete hydrogen ions and reabsorb bicarbonate. Therefore, the nurse should identify that the client is experiencing metabolic acidosis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dry skin:
Dry skin is not typically associated with respiratory alkalosis. Instead, it may occur in conditions such as dehydration or impaired skin integrity.
B. Diarrhea:
Diarrhea is not typically associated with respiratory alkalosis. Respiratory alkalosis primarily involves changes in the respiratory system, leading to alterations in blood pH and carbon dioxide levels.
C. Hyperventilation:
Hyperventilation is a characteristic finding in respiratory alkalosis. It is a compensatory mechanism where the client breathes rapidly and deeply to blow off excess carbon dioxide, attempting to restore acid-base balance.
D. Abdominal pain:
Abdominal pain is not typically associated with respiratory alkalosis. While some individuals with respiratory alkalosis may experience symptoms such as dizziness, lightheadedness, or tingling sensations, abdominal pain is not a common manifestation of this acid-base imbalance.
Correct Answer is D
Explanation
A. Spirituality can increase feelings of hopelessness: This is generally not the case. Spirituality often provides a sense of hope and meaning, especially during challenging times such as the end of life.
B. Spirituality can increase depression: On the contrary, spirituality often serves as a source of comfort and strength, and can help individuals cope with emotional pain and feelings of depression.
C. Spirituality can increase the desire to hasten death: Spirituality typically helps individuals find meaning and purpose in their experiences, which can actually decrease the desire for a hastened death.
D. Spirituality can increase the quality of life: This is correct. Spirituality often enhances the quality of life, especially near the end of life. It can provide a sense of peace, comfort, and well-being. It can also help individuals make sense of their experiences and find meaning in them
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