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wk 4 266: causes of acid-base imbalance
Terms in this set (8)
The nurse is providing care to a patient, following a motor vehicle accident. The steering wheel hit the patient's chest and trapped the patient in the car until the rescue workers arrived. The patient is now complaining of dyspnea. For which acid-base imbalance does the nurse identify the patient to be at risk?
The nurse is caring for a school-age patient who fell at school and is receiving treatment for a fractured arm. The patient is crying and complaining of pain. The nurse reviews the patient's lab results, which indicate an elevated pH and a decreased PaCO2. Which condition is the patient experiencing based on the current data?
Which patients should the nurse identify as being at risk for respiratory acidosis secondary to impaired gas exchange?
A patient experiencing an asthma attack
A patient diagnosed with scoliosis
A patient who is two hours postoperative for thoracic surgery
The nurse is caring for a patient with pulmonary edema. The nurse knows this patient is at risk for respiratory acidosis as a result of which factor?
Impaired gas exchange
The nurse admits a patient who is unresponsive. Which conditions in the medical history should the nurse identify as placing the patient at risk for metabolic acidosis?
Type I diabetes
Laboratory values for a patient recently admitted include: pH - 7.31, PaO2 - 59.2 mm Hg, PaCO2 - 38.6 mm Hg, HCO3 - 17.5 mEq/L, and O2 saturation - 88%. The patient is awake, but lethargic, and is taking rapid, deep breaths. Which data in the medical history could be the cause for the current findings?
A patient is admitted with dehydration and lethargy. Which data should the nurse identify as supporting the diagnosis of metabolic alkalosis?
The nurse is caring for a patient with an admitting diagnosis of metabolic acidosis. Which change in the patient's respiratory pattern indicates to the nurse that compensation is occurring?
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