A nurse is reviewing the arterial blood gas values for a client.
The pH is 7.32, PaCO₂ 48 mm Hg and the HCO₃ is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid-base balances?
Metabolic acidosis.
Metabolic alkalosis.
Respiratory alkalosis.
Respiratory acidosis.
The Correct Answer is D
Choice A rationale
Metabolic acidosis is characterized by a low pH and decreased HCO₃ levels, not increased PaCO₂.
Choice B rationale
Metabolic alkalosis presents with an elevated pH and increased HCO₃ levels, which do not match the given values.
Choice C rationale
Respiratory alkalosis is indicated by a high pH and decreased PaCO₂, opposite of the provided values.
Choice D rationale
Respiratory acidosis is identified by a low pH, elevated PaCO₂, and normal HCO₃, aligning with the provided values.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Obtaining an influenza vaccine annually is crucial for individuals with type 1 diabetes to reduce the risk of infections that can exacerbate their condition.
Choice B rationale
Injecting insulin in the deltoid muscle is not standard practice as subcutaneous tissue in the abdomen or thigh is preferred for insulin absorption.
Choice C rationale
Administering glucagon is for hypoglycemia, not hyperglycemia; insulin or other medications manage hyperglycemia.
Choice D rationale
Taking glyburide is not suitable for type 1 diabetes as it requires insulin management. .
Correct Answer is D
Explanation
Choice A rationale
Milky fluid often indicates chylothorax, a condition where lymphatic fluid leaks into the pleural space, and is not necessarily indicative of infection.
Choice B rationale
Bloody fluid may indicate trauma or malignancy but not necessarily infection.
Choice C rationale
Viscous fluid can be related to various conditions, including malignant effusion, but does not specifically indicate infection.
Choice D rationale
Purulent fluid is indicative of an infection as it contains pus, which is a collection of dead white blood cells, bacteria, and tissue debris.
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