Reference no: EM133915048

Questions

1. The ICU nurse is concerned with her client's arterial blood gas (ABG) results-especially the pH 7.30; and PCO2 49 mmHg. The nurse interprets these ABG results and assesses her client for which clinical manifestations of respiratory acidosis?

A. Headache with complaints of blurred vision
B. Muscle twitching
C. Hyperactive deep tendon reflexes
D. Complaints of paresthesia sensations around lips/mouth
E. Numbness in fingers and toes

2. In the neurotrauma unit, a teenager with a closed head injury related to an automobile accident is experiencing high intracranial pressure (ICP). He is intubated and on a ventilator. One treatment for this is to allow him to progress into which acid-base imbalance in an attempt to lower ICP?

A. Metabolic acidosis.
B. Metabolic alkalosis.
C. Respiratory acidosis.
D. Respiratory alkalosis.

3. A 77-year-old client diagnosed with chronic obstructive pulmonary disease (COPD) is experiencing impaired gas exchange and CO2 retention, despite a rapid respiratory rate. Which pathophysiologic principle would the health care team expect if the client's compensatory mechanisms are working?

A. Arterial blood gas sampling indicates a pH in the range of 7.45-7.55.
B. The kidneys are likely to reabsorb H+ and secrete HCO3-.
C. The body will produce excess metabolic CO2.
D. The kidneys will adapt with an increase in plasma HCO3- and the pH will increase.