NCLEX Exam Questions From The 5th Edition Saunders Book, Acid-Base Balance Exam Questions & Answers, Explained Answers-A patient had 5 liters of fluid removed during a paracentesis. What intravenous (... IV) solution may be used to pull fluid into the intravascular space after the paracentesis? 0.9% sodium chloride 25% albumin solution Lactated Ringer's solution 5% dextrose in 0.45% saline - 25% albumin solution After a paracentesis of 5 L or greater of ascites fluid, 25% albumin solution may be used as a volume expander. Normal saline, lactated Ringer's, and 5% dextrose in 0.45% saline will not be effective for this action. A nurse reviews the arterial blood gas results of a client and notes the following: pH 7.45, Pco2 of 30, and HCO3- of 22. The nurse analyzes these results as indicating which condition? 1) Metabolic Acidosis, compensated 2) Respiratory Alkalosis, compensated 3) Metabolic Alkalosis, compensated 4) Respiratory Acidosis, compensated - Answer: 2 Rational: The normal pH is 7.3-7.45. In a respiratory condition, an opposite effect will be seen between the pH and the Pco2. In this condition, the pH is a the high end of normal and the Pco2 is low. In an alkalotic condition, the pH is elevated. Therefore the values identified in the question indicated a respiratory alkalosis. When the pH returns to a normal value, compensation has occurred. A nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client, knowing that the client is at risk for which acid-base disorder? 1) Metabolic Acidosis 2) Metabolic Alkalosis 3) Respiratory Acidosis 4) Respiratory Alkalosis - Answer: 2 Rational: Metabolic Alkalosis is defined as a deficit or loss of hydrogen ions or acids or an excess of base (bicarbonate) that results from the accumulation of base or from a loss of acid without a comparable loss of base in the body fluids. This occurs in conditions resulting in hypovolemia, the loss of gastric fluid, excessive bicarbonate intake, the massive transfusion of whole blood, and hyperaldosteronism. Loss of gastric fluid via nasogastric suction or vomiting causes Metabolic Alkalosis as a result of the loss of hydrochloric acid. Options 1, 3, & 4 are incorrect interpretations. A client with a 3-day history of nausea and vomiting presents to the emergency department. The client is hypoventilating and has a respiratory rate of 10 breaths/min. Arterial blood gases are drawn and the nurse reviews the results, expecting to note which of the following? 1) A decreased pH and an increased CO2 2) An increased pH and a decreased Co2 3) A decreased pH and a decreased HCO3- 4) An increased pH with an increased HCO3- - Answer: 4 Rational: Clients experiencing nausea and vomiting would most likely present with metabolic alkalosis resulting from loss of gastric acid, thus causing the pH and HCO3- to increase. Symptoms experienced by the client would include hypventilation and tachycardia. Option 2 reflects a respiratory acidotic condition. Option 2 reflects a respiratory alkalotic condition. Option 3 reflects a metabolic acidotic condition. A nurse caring for a client with an ileostomy understands the the client is most at risk for developing which acid-base disorder? 1) Metabolic Acidosis 2) Metabolic Alkalosis 3) Respiratory Acidosis 4) Respiratory Alkalosis - Answer: 1 Rational: Metabolic Acidosis is defined as total concentration of buffer base that is lower than normal, with a relative increase in the hydrogen ion concentration. This results from loss of buffer bases or the retention of too many acids without sufficient bases, and occurs in conditions such as renal failure, diabetic ketoacidosis, from the production of lactic acid, from the ingestion of toxins (such as acetylsalicylic acid -aka- aspirin), malnutrition, or severe diarrhea. Intestinal secretions are high in bicarbonate and may e lost through enteric drainage tubes or an ileostomy, or with diarrhea. These conditions result in metabolic acidosis. Options 2, 3, & 4 are incorrect interpretations and do not occur in the client with an ileostomy. **(Base/Bicarbonate is lost through an ileostomy) A nurse is caring for a client with diabetic ketoacidosis and documents the the client is experiencing Kussmaul's respirations. Based on this documentation, which of the following did the nurse observe? 1) Respirations that cease for several seconds 2) Respirations that are regular but abnormally slow 3) Respirations that are labored and increased in depth and rate 4) Respirations that are abnormally deep, regular, and increased in rate - Answer: 4 Rational: Kussmal's respirations are abnormally deep, regular, and increased in rate. Apnea is described as repirations that cease for several seconds. In bradypnea, respirations are regular but abnormally slow. In hyperpnea, respirations are labored and increased in depth and rate. A client who is found unresponsive has arterial blood gases drawn and the results indicate dthe following: pH is 7.12, Pco2 is 90, and HCO3- is 22. the nurse interprets the results as indicating which condition? 1) Metabolic Acidosis with compensation 2) Respiratory Acidosis with compensation 3) Metabolic Acidosis without compensation 4) Respiratory Acidosis without compensation - Answer: 4 Rational: The acid-base disturbance is respiratory acidosis without compensation. The normal pH is 7.35-7.45. The normal Pco2 is 32-48. In respiratory acidosis the pH is decreased and the pco2 is elevated. The normal bicarbonate (HCO3-) level is 22-27. Because the bicarbonate is still within normal limits, the kidneys have not had time to adjust for this acid-base disturbance. Additionally, the pH is not within normal limits. Therefore the condition is without compensation. Options 1, 2, & 3 are incorrect interpretations. The nurse plans care for a client with chronic obstructive pulmonary disease (COPD), understanding that the client is most likely to experience what type of acid-bases imbalance: [Show More]
Last updated: 1 year ago
Preview 1 out of 66 pages
*NURSING> EXAM > COMPLEX ADULT HEALTH FINAL EXAM 2 MODULES QNS & ANS 20232024 (All)
COMPLEX ADULT HEALTH FINAL EXAM 2 MODULES QNS & ANS 2023
By BrowseDocu , Uploaded: Dec 03, 2023
*NURSING> EXAM > SUPPORTING WORKLOW IN HEALTHCARE SYSTEMS EXAM QNS & ANS 20232024 (All)
SUPPORTING WORKLOW IN HEALTHCARE SYSTEMS EXAM QNS & AN
By BrowseDocu , Uploaded: Dec 03, 2023
*NURSING> EXAM > NURS 1102 PASSPOINT CARDIOVASCULAR (All)
Question 1 See full question Which statement would lead the nurse to determine that a client lacks understanding of her acute cardiac illness and the ability to make changes in her lifestyle? You S...
By Test Bank Store , Uploaded: Oct 26, 2021
*NURSING> EXAM > Test Bank For Physical Examination and Health Assessment/( 8th Edition). Rated A (All)
Chapter 1 - Evidence-Based Assessment 3 Chapter 2 - Cultural Assessment 13 Chapter 3 - The Interview 26 Chapter 4 - The Complete Health History 43 Chapter 5 - Mental Status Assessment 55 Chapter 6 - S...
By Rice Wood , Uploaded: Jan 27, 2023
*NURSING> EXAM > PUBLIC HEALTH NURSING INTERVENTIONS EXAM QNS & ANS 20232024 (All)
PUBLIC HEALTH NURSING INTERVENTIONS EXAM QNS & ANS 20232024
By khaled4 , Uploaded: Dec 03, 2023
*NURSING> EXAM > MedSurge Final Exam NURS 102 (All)
MedSurge Final Exam NURS 102
By philip11z , Uploaded: Aug 25, 2023
*NURSING> EXAM > Relias Dysrhythmia Basic Test A Answers (Latest 2023 – 2024) Satisfaction Guaranteed (All)
Relias Dysrhythmia Basic Test A Answers (Latest 2023 – 2024) Satisfaction Guaranteed Normal sinus rhythm - Regular Rate: 60-100 P Wave: Present, upright PR Interval: 0.12-0.20 sec QRS: <0.12 sec...
By Professor_Chue , Uploaded: Nov 30, 2023
*NURSING> EXAM > Kings College Management Accounting-Final Exam 2023 (All)
Kings College Management Accounting-Final Exam 2023
By durkio40 , Uploaded: Sep 19, 2023
*NURSING> EXAM > NUR 166 exam 2 Complete With Questions and Answers (All)
NUR 166 exam 2 Complete With Questions and AnswersYou have a patient who just gave birth. What is your priority assessment?Assess the fundus at the umbilicus and make sure it is firm.Where do you palp...
By BIILIEBOOKS , Uploaded: Sep 11, 2023
*NURSING> EXAM > MN Dental Jurisprudence Exam 2023 Questions &Answers (All)
MN Dental Jurisprudence Exam 2023 Questions &Answers
By rrugeruni , Uploaded: Oct 10, 2023
Connected school, study & course
About the document
Jun 16, 2022
Number of pages
This document has been written for:
Jun 16, 2022
Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students
Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.
Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality
Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.
Florida State University
Great way to get paid for all of the hard work!.
It is an excellent site to post assignment.
Florida State University
Awesome and a great way to make money!.
Thank you so much for this nice platform.
University Of South Florida
Great! It is a good place to share knowledge.
University of Windsor
G D Goenka University
It is helpful Platform for offering the notes
Louisiana State University
I love this site, they make everything so easy
Florida State University
Great tool for learning! I wish you success.
In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.
Copyright © Browsegrades · High quality services·