A nurse is collecting data from a client whose arterial blood gas values reveal a pH of 7.24, PaCO2 of 53, and an HCO3 of 24. The nurse should prepare to treat the client for which of the following acid-base imbalances?
Respiratory acidosis - The low pH (acidosis) and elevated PaCO2 suggest respiratory acidosis, which is caused by inadequate ventilation leading to an accumulation of carbon dioxide.
Metabolic acidosis - Metabolic acidosis is characterized by a low pH and decreased HCO3.
Respiratory alkalosis - Respiratory alkalosis is characterized by a high pH and low PaCO2, which is not consistent with the provided arterial blood gas values.
Metabolic alkalosis - Metabolic alkalosis is characterized by a high pH and increased HCO3, which does not align with the given values.
The Correct Answer is A
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. Serum chloride 99 mEq/L: Serum chloride within the reference range is not an adverse effect of spironolactone.
b. Serum calcium 10.5 mg/dL: Serum calcium within the reference range is not an adverse effect of spironolactone.
c. Serum potassium 5.2: Spironolactone is a potassium-sparing diuretic, and an elevated serum potassium level is an adverse effect that requires monitoring. The nurse should assess for
hyperkalemia.
d. Serum sodium 140 mEq/L: Serum sodium within the reference range is not an adverse effect of spironolactone.
Correct Answer is A
Explanation
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