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sherpath week 14
Assessment Related to Acid-Base Balance
| Question | Answer |
|---|---|
| Match the system with the accurate clinical manifestation for respiratory acidosis. Cardiovascular Neurological Respiratory | - Tachycardia - Headache - Dyspnea |
| Which acid-base imbalance manifests with tachypnea and light-headedness? | Respiratory alkalosis |
| Which neurological clinical manifestations are associated with metabolic acidosis? | - Confusion - Lethargy |
| A patient presents with muscle twitching and tetany. Ten minutes after hospital admission, the patient experiences a seizure. Which acid-base imbalance should the nurse suspect? | Metabolic alkalosis |
| Place the steps the nurse uses to analyze ABGs in the correct order. Evaluate whether or not compensation is occurring. Evaluate the PaO2 and O2 saturation level. Evaluate the PaCO2 and HCO3- to determine if the imbalance is respiratory or metaboli | Evaluate the PaO2 and O2 saturation level. Evaluate the pH to determine if it is acidotic, alkalotic, or within normal range. Evaluate the PaCO2 and HCO3- to determine if the imbalance is respiratory or metabolic. Evaluate whether or not compensatio |
| Match the normal values with the appropriate ABG parameter. 7.35-7.4535-45 mmHG 80-100 mmHG 22-26 mEq/L | - pH - PaCO2 - PaO2 HCO3- |
| Which should the nurse assess for in all patients who are experiencing an acid-base imbalance? | - ABG analysis - Vital signs |
| Which PaO2 value indicates moderate hypoxemia? | 40-60 mm Hg |
| The nurse is assessing a patient who is diagnosed with respiratory acidosis. Which cardiovascular finding does the nurse anticipate when assessing the cardiovascular system? | - Tachycardia - Dysrhythmia |
| Which clinical manifestation does the nurse anticipate when assessing a patient who is experiencing respiratory alkalosis? | Tachypnea |
| Which assessment finding causes the nurse to suspect that a patient is experiencing metabolic acidosis? | Kussmaul respirations |
| A patient presents with muscle twitching and tetany. Ten minutes after hospital admission, the patient experiences a seizure. Which acid-base imbalance should the nurse suspect? | Metabolic Alkalosis |
| The nurse is evaluating the ABG results for a patient who is suspected of having an acid-base imbalance. The ABG analysis indicates a decreased pH, an increased PaCO2, and a normal HCO3-. Which conclusion by the nurse is accurate? | Respiratory acidosis |
| Which nursing actions should the nurse perform when analyzing an ABG during the assessment process for a patient who is suspected of having an acid-base imbalance? | - Examining oxygenation status - Evaluating the pH - Assessing PaCO2 and HCO3- - Determining compensation |
| The nurse is providing care to a patient with the following ABG values: pH 7.30, PaCO2 40 mm Hg, and HCO3- 20 mEq/L. Which should the nurse document in the medical record regarding this ABG? | Metabolic acidosis |
| Which should the nurse assess for in all patients who are experiencing an acid-base imbalance? | - ABG analysis -Vital signs |
Created by:
Brandi Sizemore
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