Exam 1: Acid-Base Balance

A client is admitted to the emergency department (ED)for treatment of an overdose.The client's arterial blood gas results indicate acute respiratory acidosis.Which substance found on the nurse's review of the toxicology analysis is most likely the cause for the client's current condition?

Clinical manifestations of metabolic alkalosis are similar to signs of

The nurse identifies the diagnosis Risk for Impaired Gas Exchange to guide the care of a client with metabolic alkalosis.Which assessment data supports this nursing diagnosis? Select all that apply.

The nurse is instructing a client with a history of acidosis on the use of sodium bicarbonate.Which client statement indicates that additional teaching is needed?

During an assessment,the nurse becomes concerned that a client is at risk for developing metabolic alkalosis.What did the nurse assess that caused this concern?

A client is admitted with manifestations of metabolic alkalosis.Which diagnostic test findings support the admitting diagnosis? Select all that apply.

During a home visit,the nurse evaluates care provided to a client with type 1 diabetes mellitus and a history of metabolic acidosis.Which outcome indicates that the care of this client has been successful?

The client has been vomiting for several days.The nurse knows that the client is at risk for metabolic alkalosis because gastric secretions have which characteristic?

A client with severe metabolic alkalosis is admitted to the unit.Which is the priority for the client?

The nurse is preparing to discharge a client with congestive heart failure on furosemide (Lasix).The nurse determines that teaching has been effective if the client makes which statement?

The nurse is preparing to teach a client with type 1 diabetes mellitus on the mechanism behind the development of ketoacidosis.List the order in which the nurse should provide this information. 1.Production of lactate and hydrogen ions 2.Tissue hypoxemia 3.Breakdown of fatty tissue 4.Reduction in intracellular glucose 5.Fatty acids converted to ketones

A client with pneumonia develops respiratory acidosis.Based on provider's orders,which medications should the nurse prepare to administer to this client? Select all that apply.

The nurse instructs a client with a history of acute respiratory acidosis and lung infections on ways to prevent further episodes of the health problem.Which client statement indicates that teaching has been effective?

While reviewing laboratory results,the nurse notes that a client's potassium level is 2.8 mEq/L and chloride level is 100 mEq/L.Based on this data,which intervention does the nurse plan for this client?

The nurse is reviewing prescriptions written for a client with chronic respiratory acidosis.Which prescription should the nurse question prior to implementation?

The nurse is caring for the client with a history of anxiety who is experiencing chest pain,palpitations,and dyspnea.Which intervention would be a priority for this client?

When considering acid-base balance,health promotion should focus on

Which risk factors exhibited by the client presenting in the emergency department (ED)would place the client at risk for metabolic acidosis? Select all that apply.

The nurse is providing care to an older adult client diagnosed with respiratory alkalosis.The nurse states to the client,"Look into my eyes and breathe with me so that we can slow down your breathing rate." The client continues to look down and refuses to make eye contact with the nurse.The client's daughter later asks you to teach her how to help her mother to control her breathing.When documenting this client's care,which statement is appropriate for the nurse to include?

The nurse is caring for a client admitted with renal failure and metabolic acidosis.Which clinical manifestation would indicate to the nurse that planned interventions to relieve the metabolic acidosis have been effective?