A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect? Hyperreflexia, peripheral edema, facial flushing and warmth, confusion
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Metabolic Acidosis Metabolic Alkalosis Respiratory Acidosis Respiratory Alkalosis 1. decreased blood level of CO2 as a result of hyperventilation 2. decreased respiratory rate in a patient taking an overdose of morphine 3. excessive intake of antacids 4. prolonged vomiting of stomach contents which are high in HCl content 5. ketosis in uncontrolled diabetes mellitus 6. decreased respiratory minute volume in a patient with emphysema or fractured rib 7. excessive loss of bicarbonate from the body as in prolonged diarrhea
Madhur L.
31 Acidosis occur due to any of the following except: a. Pulmonary fibrosis b. Chronic renal failure c. Prolonged vomiting d. Uncontrolled DM e. Severe diarrhea 41 A 54 old male patient states he have been vomiting for the last 4 days. The patient is irritable, weak, and reporting muscle cramping and weakness. On assessment, the patient is experiencing bradypnea with a respiratory rate of 10. The patient has the following ABGs result: HCO3 36, pH 7.52, PaCO2 48. What type of compensation is taking place in this case ? a. Respiratory by hypoventilation b. No compensation is taking place in this patient c. Respiratory by hyperventilation d. Renal compensation by increasing excretion of H+ e. Renal compensation by increasing reabsorption of HCO3- 51 In a man undergoing surgery, it was necessary to aspirate the contents of the upper gastrointestinal tract. After surgery, the following values were obtained from an arterial blood sample: pH 7.55, PCO2 52 mm Hg and HCO3 - 40 mmol/l. What is the underlying disorder? a. Metabolic Alkalosis, partially compensated b. Metabolic Alkalosis, uncompensated 61 All are causes of hyperphosphatemia except: a. Potassium deficiency b. Hypoparathyroidism c. Seizures d. kidney failure e. Lack of vitamin D 71 A 64-year-old man with a history of COPD presents with worsening shortness of breath and increased sputum production. His ABGs reveal the following values pH: 7.21 pCO2: 60 HCO3: 29 The acid-base status best described as: a. Fully compensated respiratory acidosis. b. Uncompensated metabolic acidosis. c. Partially compensated metabolic alkalosis d. Partially compensated respiratory acidosis. e. Fully compensated metabolic acidosis. f. Fully compensated metabolic alkalosis
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15. In the regulation of plasma osmolarity, both thirst sensation and AVP are: 1. Suppressed in water deficit 2. Activated in water deficit 3. Activated in excess water load 4. Suppressed in excess water load Group of answer choices 1 & 4 1 & 4 1 & 2 2 & 4 16. Which of the following statements is true regarding the regulation of blood volume? 1. AVP - ↑ water reabsorption in the kidney 2. ANP - ↑ Na excretion in the kidney 3. GFR ↑ with volume expansion and ↓ with volume depletion 4. Aldosterone ↑ Na reabsorption in the kidney Group of answer choices 1, 2, 3, and 4 2, 3, and 4 1 only 2 and 3 only 17. A 60-year-old man with a history of chronic obstructive disease was rushed to the ER due to increasing shortness of breath, pyrexia, and productive cough. He's unable to complete a sentence. His wife says he has been unwell for four days. Upon PE, crackles and wheezes can be heard in the lower lobes; he has tachycardia and a bounding pulse. Measurement of arterial blood gas shows pH 7.28, CO2 65 mmHg, HCO3 29 mmol/L, and PaO2 60 mmHg. What is the interpretation? Group of answer choices Metabolic alkalosis, uncompensated Metabolic acidosis, partially compensated Respiratory acidosis, uncompensated Respiratory acidosis, partially compensated 18. Which of the following values would be seen in uncompensated metabolic acidosis? Group of answer choices pH = 7.55 pH = 7.35 HCO3 = 13 mmol/L pCO2 = 60 mmHg 19. A 7-year-old boy was rushed to the hospital due to persistent vomiting and decreased level of consciousness. The patient displays slow and deep breathing, and he is lethargic and irritable in response to stimulation. He appears to be dehydrated – his eyes are sunken and mucous membranes are dry and he has a two-week history of polydipsia, polyuria, and weight loss. Measurement of blood gas shows pH 7.1, PaO2 90 mmHg, PCO2 24 mmHg, and HCO3 12 mmol/L; other lab results are Na 126 mmol/L, K 5 mmol/L, and Cl 95. What is your assessment? Group of answer choices Respiratory acidosis, partially compensated Metabolic alkalosis, uncompensated Respiratory acidosis, uncompensated Metabolic acidosis, partially compensated 20. Which of the following is most likely to increase oxygen's affinity to hemoglobin in the bloodstream? Group of answer choices High pCO2 Low pH High Temperature Low 2,3-DPG 21. Which of the following conditions will result in the shifting of the oxygen dissociation curve to the left? Group of answer choices Hyperventilation Strenuous exercise Hyperthermia Anemia 22. The following are compensatory mechanisms done by the kidneys during metabolic acidosis, EXCEPT: Group of answer choices Bicarbonate reabsorption is decreased Urinary acidity is increased Hydrogen ion secretion is increased Urinary ammonia is increased 23. A family driver is found at the scene of an automobile accident in a state of emotional distress. He tells the paramedics that he feels lightheaded, tingling in his fingertips, and unable to recall what happened to his car. His respiratory rate is rapid at 34 cycles/min. Which primary acid-base disturbance is the man at risk for if medical attention is not given? Group of answer choices Respiratory alkalosis Metabolic acidosis Respiratory acidosis Metabolic alkalosis 24. Which of the following factors would cause a shift to the right in the oxygen dissociation curve? Group of answer choices Low plasma pH level Low temperature Low 2,3 DPG Low pCO2 25. The following ABG results can be interpreted as: HCO3: increased PCO2: normal pH: increased Group of answer choices Uncompensated metabolic alkalosis Uncompensated metabolic acidosis Partially compensated metabolic alkalosis Compensated respiratory acidosis 26. A secondary compensatory mechanism for metabolic acidosis: Group of answer choices Bicarbonate retention Bicarbonate excretion Hyperventilation Hypoventilation 27. Which of the following is not consistent with respiratory alkalosis? Group of answer choices Decreased pH Decreased pCO2 Hypocapnia Compensatory decrease in HCO3-
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