A nurse is caring for a client who has respiratory acidosis. Which of the following pH levels should the nurse expect?

pH 7.48

pH 7.50

pH 7.31

pH 7.39

Answer and Explanation

The Correct Answer is C

A. pH 7.48:

A pH of 7.48 indicates alkalosis, not acidosis. Respiratory acidosis is characterized by a pH below the normal range (7.35-7.45).

B. pH 7.50:

Similar to choice A, a pH of 7.50 indicates alkalosis, not acidosis.

C. pH 7.31:

This pH value falls below the normal range (7.35-7.45), indicating acidemia. In respiratory acidosis, there is an increase in the partial pressure of carbon dioxide (PaCO2) in the blood, leading to an accumulation of carbonic acid and a decrease in pH.

D. pH 7.39:

A pH of 7.39 falls within the normal range (7.35-7.45), indicating a normal acid-base balance. It does not indicate acidosis.

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Correct Answer is B

Explanation

(A) Diarrhea: Diarrhea is typically associated with gastrointestinal disorders. It involves frequent loose or watery stools, which is not a symptom of respiratory alkalosis. Respiratory alkalosis is a condition that affects the respiratory system, causing an increase in the rate or depth of respiration, leading to a decrease in the concentration of carbon dioxide in the blood.

(B) Hyperventilation: Hyperventilation is indeed a common finding in respiratory alkalosis. When a person hyperventilates, they breathe out more carbon dioxide than their body produces. This lowers the level of carbon dioxide in the blood, leading to a rise in blood pH and causing the blood to become more alkaline - a state known as alkalosis.

(C) Dry skin: Dry skin is not typically associated with respiratory alkalosis. It’s more common in conditions like dehydration or skin disorders. Respiratory alkalosis is a condition that affects the respiratory system and the balance of acids and bases in the blood, not the skin.

(D) Abdominal pain: Abdominal pain is not typically associated with respiratory alkalosis. It’s more common in gastrointestinal disorders. Respiratory alkalosis is a condition that affects the respiratory system and the balance of acids and bases in the blood, not the digestive system.

A. Agency for Healthcare Research and Quality (AHRQ) website B. American Association of Critical Care Nurses (AACN) website C. Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) website D. A pamphlet about hypoglycemia from the American Diabetes Association E. A magazine article about health care trends authored by a journalist Cumulative Index of Nursing and Allied Health Literature (CINAHL) website

Correct Answer is ["A","B","C","D","E"]

Explanation

(A) Agency for Healthcare Research and Quality (AHRQ) website: The AHRQ is a reputable source of information for healthcare professionals. It provides evidence-based information on healthcare outcomes, quality, cost, use, and access.

(B) American Association of Critical Care Nurses (AACN) website: The AACN is a credible source of information for nurses working in critical care. It provides resources, education, and advocacy to ensure optimal care for critically ill patients.

(C) Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) website: AWHONN is a reputable organization that promotes the health of women and newborns. Its website provides evidence-based clinical practice guidelines and other resources for nurses.

(D) A pamphlet about hypoglycemia from the American Diabetes Association: The American Diabetes Association is a reputable source of information on diabetes. A pamphlet from this organization about hypoglycemia would be based on the latest research and would be a credible source of information.

(E) Cumulative Index of Nursing and Allied Health Literature (CINAHL) website: CINAHL is a comprehensive source of full-text for nursing & allied health journals, providing full text for more than 610 journals indexed in CINAHL. This is a highly respected research tool for nurses and allied health professionals.

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A nurse is caring for a client who has respiratory acidosis. Which of the following pH levels should the nurse expect?

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