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Nursing 2300 (VIcky Hansen) > Unit 4 - Class Acitivites > Flashcards

Unit 4 - Class Acitivites Flashcards

1
Q

Acid/Base imbalances cause by the pulmonary system are characterized by an excess or deficiency of:

a. Base Bicarbonate (HCO3)
b. Carbon Dioxide (CO2)
c. Serum pH
d. ketone bodies

A

b. Carbon Dioxide (CO2)

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2
Q

Mrs. Right has the following values: pH 7.48, pCO2 40, HCO3 30. These values are consistent with

a. metabolic alkalosis - with compensation
b. metabolic alkalosis - uncompensated
c. metabolic acidosis - with partial compensation
d. metabolic acidosis - uncompensated

A

b. metabolic alkalosis - uncompensated

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3
Q

Is respiratory acidosis acute or chronic?

A

It can be either one!

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4
Q

ROME

A 
respiratory = opposite
- pH is high, PCO2 is down (alkalosis)
- pH is low, PCO2 is up (acidosis)
metabolic = equal
- pH is high, HCO3 is high (alkalosis)
- pH is low, HCO3 is low (acidosis)
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5
Q

Match acid-base status with disorder:
pH 7.5
PaCO2 50
HCO3 35

A

metabolic alkalosis compensated

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6
Q

Match acid-base status with disorder:
pH 7.6
PaCO2 18
HCO3 20

A

respiratory alkalosis compensated

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7
Q

Match acid-base status with disorder:
pH 7.2
PaCO2 60
HCO3 22

A

respiratory acidosis uncompensated

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8
Q

Match acid-base status with disorder:
pH 7.54
PaCO2 30
HCO3 23

A

respiratory alkalosis uncompensated

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9
Q

Match acid-base status with disorder:
pH 7.25
PaCO2 40
HCO3 16

A

metabolic acidosis uncompensated

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10
Q

The client’s arterial blood gas report reveals a pH of 6.58. How does the nurse evaluate this value?

A.There is a slight elevation.
B.This value is incompatible with life.
C.This is a low normal value.
D.This value is extremely elevated.

A

B.This value is incompatible with life.

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11
Q

Normal Na lab value

A

135-145

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12
Q

Normal K+ lab value

A

3.5 - 5.3 mEq/L

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13
Q 
What can cause H+ concentration to increase? Select all that apply
A.Accumulation of acids
B. Increase of Bases
C.Loss of Bases
D.Deep Fast breathing
A

A.Accumulation of acids

C.Loss of Bases

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14
Q

Isaac, 63 years old, was admitted to the hospital with confusion, rapid respirations and signs of dehydration. His arterial blood gas values are pH 7.32, HCO3 19 mEq/L, PaCO2 40. These values are consistent with
A. metabolic acidosis with partial compensation.
B. metabolic acidosis - uncompensated.
C. respiratory acidosis with partial compensation.
D. respiratory acidosis - compensated.

A

B. metabolic acidosis - uncompensated.

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15
Q 
According to the arterial blood gas results, a highly anxious patient is experiencing respiratory alkalosis.  What is the most likely cause of this acid-base imbalance?
A. chronic lung disease
B. intubation
C. hyperventilation
D. drug therapy
A

C. hyperventilation

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16
Q

What type of condition is DKA

A

metabolic acidosis condition

17
Q 
What buffers Lactic Acid during normal exercise?
•A. CO2
•B. Gatorade
•C. Bicarbonate
•D. H2O
A

•C. Bicarbonate

18
Q 
Common cause of respiratory Alkalosis: 
A.Intense exercise
B.Chronic Kidney problems
C.Ingestion of large amounts of water
D.Hyperventilation
A

D.Hyperventilation

19
Q

high PCO2 (respiratory acidosis)indicates:
A.Hypoventilation
B.Hyperventilation

A

A.Hypoventilation

20
Q

A client is brought to the emergency department after passing out in a local department store. The client reports dieting by fasting for the last 5 days. Which acid–base imbalance would the nurse expect to assess in this client?

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

A

C.Metabolic acidosis

21
Q 
A client is admitted to the hospital after vomiting for 3 days. Which arterial blood gas results would the nurse expect to find in this client?
A.pH 7.30; PaCO2 50; HCO3 27
B.pH 7.47; PaCO2 43; HCO3 28
C.pH 7.43; PaCO2 50; HCO3 28
D.pH 7.47; PaCO2 30; HCO3 23
A

B.pH 7.47; PaCO2 43; HCO3 28

22
Q

The nurse has admitted a client who was brought to the hospital after a narcotic overdose. What acid–base imbalance does the nurse expect to observe in this client?

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

A

A.Respiratory acidosis

23
Q

In a man undergoing surgery, it was necessary to aspirate the contents of the upper gastro-intestinal 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.Respiratory acidosis
B.Respiratory alkalosis
C.Metabolic acidosis
D.Metabolic alkalosis

A

D.Metabolic alkalosis

24
Q

A person was admitted to hospital in a coma. Analysis of the arterial blood gave the following values: PCO2 16 mm Hg, HCO3- 5 mmol/l and pH 7.1. What is the underlying acid-base disorder?

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

A

C.Metabolic acidosis

25
Q

A climber attempts an assault on a high mountain in the Andes and reaches an altitude of 5000 meters (16,400 ft) above sea level. What will happen to his arterial PCO2 and pH?

A.Both will be lower than normal
B.The Ph will rise and PCO2 will fall
C.Both will be higher than normal due to the Physical exertion
D.The pH will fall and the PCO2 will rise

A

B.The Ph will rise and PCP2 will fall

26
Q

Ph 7.31 Co2 50mmHg, HCO3: 22mEq/L

A.Respiratory acidosis/ Uncompensated
B.Respiratory Alkalosis/ Partially compensated
C.Metabolic acidosis/ Fully compensated
D.Metabolic Alkalosis/ Uncompensated

A

A.Respiratory acidosis/ Uncompensated

27
Q

When pH is normal, both HCO3 and CO2 are abnormal. It is

A.Uncompensated
B.Partially compensated
C.Fully compensated
D.Corrected

A

C.Fully compensated

28
Q 
When there is an abnormal pH and change in one blood parameter . It is :
A.Uncompensated
B.Partially compensated
C.Fully compensated
D.Corrected
A

A.Uncompensated

29
Q 
A nursing student is extremely excited they scored a 100% on the acid-base balance exam / What imbalance would they be at risk for:
A.Respiratory acidosis
B.Respiratory alkalosis
C.Metabolic acidosis
D.Metabolic alkalosis
A

B.Respiratory alkalosis

Nursing 2300 (VIcky Hansen) (64 decks)

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