Page 289 - Saunders Comprehensive Review For NCLEX-RN

3. Respirations that are abnormally slow
4. Respirations that are abnormally deep

5. Respirations that cease for several seconds

59. A client who is found unresponsive has arterial blood gases drawn and the
results indicate the following: pH is 7.12, Paco is 90 mm Hg (90 mm Hg), and
2
is 22 mEq/L (22 mmol/L). 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
60. The nurse notes that a client’s arterial blood gas (ABG) results reveal a pH of
7.50 and a Paco of 30 mm Hg (30 mm Hg). The nurse monitors the client for
2
which clinical manifestations associated with these ABG results? Select all
that apply.
1. Nausea

2. Confusion

3. Bradypnea

4. Tachycardia

5. Hyperkalemia
6. Lightheadedness

61. The nurse reviews the blood gas results of a client with atelectasis. The nurse
analyzes the results and determines that the client is experiencing respiratory
acidosis. Which result validates the nurse’s findings?
1. pH 7.25, Paco 50 mm Hg (50 mm Hg)
2
2. pH 7.35, Paco 40 mm Hg (40 mm Hg)
2
3. pH 7.50, Paco 52 mm Hg (52 mm Hg)
2
4. pH 7.52, Paco 28 mm Hg (28 mm Hg)
2
62. The nurse is caring for a client who is on a mechanical ventilator. Blood gas
results indicate a pH of 7.50 and a Paco of 30 mm Hg (30 mm Hg). The nurse
2
has determined that the client is experiencing respiratory alkalosis. Which
laboratory value would most likely be noted in this condition?
1. Sodium level of 145 mEq/L (145 mmol/L)
2. Potassium level of 3.0 mEq/L (3.0 mmol/L)
3. Magnesium level of 1.8 (0.74 mmol/L)
4. Phosphorus level of 3.0 mg/dL (0.97 mmol/L)
63. The nurse is caring for a client with several broken ribs. The client is most
likely to experience what type of acid-base imbalance?
1. Respiratory acidosis from inadequate ventilation
2. Respiratory alkalosis from anxiety and hyperventilation
3. Metabolic acidosis from calcium loss due to broken bones
4. Metabolic alkalosis from taking analgesics containing base

289