The nurse is caring for a client with respiratory alkalosis. Which arterial blood gas data does the nurse anticipate finding?

pH-7.10. CO2-78. HCO3-25

pH-7.55. C02-20. HCO3-24

pH-7.25, CO2-64, HCO3-22

Ph-7.0. CO2-72. HCO3-26

Answer and Explanation

The Correct Answer is B

Respiratory alkalosis is a condition in which the blood pH is elevated due to a decrease in the partial pressure of carbon dioxide (CO2) in the blood. This can occur when a person breathes too rapidly or deeply (hyperventilation), causing them to exhale too much CO2. In this option, the pH is elevated (normal range is 7.35-7.45), the CO2 is low (normal range is 35-45 mmHg), and the bicarbonate (HCO3) level is within the normal range (22-26 mEq/L), which are all consistent with respiratory alkalosis.

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Correct Answer is D

Explanation

This outcome is the most appropriate because smoking can worsen COPD and lead to further respiratory complications, while oxygen is often used to help patients with COPD breathe more easily. Smoking while wearing oxygen can be very dangerous and increases the risk of fire and explosion. Therefore, the best expected outcome is for the patient to completely avoid smoking while wearing oxygen.

Option a is not a recommended solution since vaping may also worsen COPD symptoms and there is limited evidence of its safety in people with respiratory conditions. Option b is a good outcome, but it may not be achievable in such a short time frame. Option c is not an ideal outcome as even a few cigaretes can cause harm to the respiratory system, exacerbate symptoms, and slow down the healing process.

A. Daily intake and output recordings B. Daily weights C. Daily blood pressure and heart rate checks D. Daily CMP lab draw

Correct Answer is B

Explanation

Daily weights provide a reliable and accurate measure of ﬂuid balance in the body. An increase in weight can indicate ﬂuid retention and the need for further intervention. While daily intake and output recordings, blood pressure and heart rate checks, and CMP lab draws can also provide useful information, daily weights are the most eﬀective way to monitor for excess ﬂuid volume in this situation.

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The nurse is caring for a client with respiratory alkalosis. Which arterial blood gas data does the nurse anticipate finding?

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Naxlex Comprehensive Predictor Exams

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