A patient's blood gases show a pH of 7.53, PCO2 of 48, and HCO3 of 36 mEq/L. The nurse realizes that the acid-base disorder this patient is demonstrating is which of the following?
Respiratory Acidosis
Respiratory Alkalosis
Metabolic Alkalosis
Metabolic Acidosis
The Correct Answer is C
Choice A reason: Respiratory Acidosis is characterized by a low pH and a high PCO2, which is not the case here.
Choice B reason: Respiratory Alkalosis would involve a high pH and a low PCO2, which is not consistent with the patient's PCO2 level.
Choice C reason: Metabolic Alkalosis is indicated by a high pH and a high HCO3, which matches the patient's blood gas values.
Choice D reason: Metabolic Acidosis would show a low pH and a low HCO3, which is the opposite of this patient's presentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Hypertension is a well-known modifiable risk factor for stroke. Controlling blood pressure can significantly reduce the risk of having a stroke.
Choice B reason: A history of sickle cell disease is a genetic condition and is not considered a modifiable risk factor.
Choice C reason: Having a parent with cardiovascular disease is a non-modifiable risk factor as it is related to genetics.
Choice D reason: Age is a non-modifiable risk factor for stroke. The risk of stroke increases with age.
Correct Answer is C
Explanation
Choice A reason: Recording the client's intake and output is important but not the highest priority in an unconscious patient following a cerebral hemorrhage.
Choice B reason: Performing passive range of motion exercises is a lower priority compared to maintaining a patent airway.
Choice C reason: Suctioning saliva from the client's mouth is the highest priority to maintain airway patency and prevent aspiration, which is critical for an unconscious patient.
Choice D reason: Monitoring the client's electrolyte levels is important but secondary to immediate life-saving interventions such as maintaining airway patency.
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