The nurse is looking at a set of ABG's and notices a bicarbonate level of 30. What other change would the nurse expect to see in their lab values?

Chloride level would be decreed

Sodium level would be elevated

Magnesium level would be elevated.

Potassium level would be decreased

Answer and Explanation

The Correct Answer is A

A. Chloride level would be decreased: Metabolic alkalosis is often associated with hypochloremia, especially when caused by vomiting or diuretics. However, hypokalemia is more clinically significant.

B. Sodium level would be elevated: Sodium levels are not directly affected by metabolic alkalosis.

C. Magnesium level would be elevated: Magnesium levels are not significantly altered in metabolic alkalosis.

D. Potassium level would be decreased: A bicarbonate level of 30 mEq/L indicates metabolic alkalosis. In alkalosis, hydrogen ions shift out of the cells, and potassium moves into the cells, leading to hypokalemia.

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Correct Answer is A

Explanation

A. Electrolytes are within normal limits: Acute Renal Failure (ARF) leads to electrolyte imbalances (↑ K+, ↑ BUN/creatinine, metabolic acidosis). A successful treatment goal is restoring normal electrolyte balance.

B. Blood pressure is decreased to 120/80. BP control is important but not the primary goal in ARF.

C. Decrease of pain by 3 points on a 1-10 scale. Pain control is important, but not the main indicator of ARF improvement.

D. The client will understand how to care for the AV fistula. This applies to chronic kidney disease clients on hemodialysis, not ARF management.

A. Respiratory Alkalosis B. Metabolic Acidosis C. Metabolic Alkalosis D. Respiratory Acidosis

Correct Answer is D

Explanation

A. Respiratory Alkalosis: Alkalosis results from hyperventilation, which is not expected with thoracic trauma.

B. Metabolic Acidosis: Metabolic acidosis occurs due to renal failure, lactic acidosis, or diarrhea, not thoracic trauma.

C. Metabolic Alkalosis: Alkalosis can result from vomiting or excessive bicarbonate intake, not respiratory failure.

D. Respiratory Acidosis: Severe thoracic trauma can impair lung expansion, leading to hypoventilation and CO₂ retention, causing respiratory acidosis.

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The nurse is looking at a set of ABG's and notices a bicarbonate level of 30. What other change would the nurse expect to see in their lab values?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is developing a plan of care for a client diagnosed with acute renal failure (ARF). Which statement would be an appropriate outcome for the client?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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