Page 294 - Saunders Comprehensive Review For NCLEX-RN
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Test-Taking Strategy: Note the strategic words, most likely. Focus on the data in
               the question and use knowledge about the interpretation of arterial blood gas values
               to determine that the client is experiencing respiratory alkalosis. Next, recall the
               manifestations that occur in this condition and the normal laboratory values. The
               only abnormal laboratory value is the potassium level, the correct option.
                  Level of Cognitive Ability: Analyzing
                  Client Needs: Physiological Integrity
                  Integrated Process: Nursing Process—Assessment
                  Content Area: Foundations of Care: Acid-Base
                  Health Problem: N/A
                  Priority Concepts: Acid-Base Balance; Clinical Judgment
                  Reference: Ignatavicius, Workman, Rebar (2018), pp. 195-196.


                    63. Answer: 1


                  Rationale: Respiratory acidosis is most often caused by hypoventilation. The
               client with broken ribs will have difficulty with breathing adequately and is at risk
               for hypoventilation and resultant respiratory acidosis. The remaining options are
               incorrect. Respiratory alkalosis is associated with hyperventilation. There are no data
               in the question that indicate calcium loss or that the client is taking analgesics
               containing base products.
                  Test-Taking Strategy: Note the strategic words, most likely. Focus on the data in
               the question. Think about the location of the ribs to determine that the client will
               have difficulty breathing adequately. This will assist in directing you to the correct
               option. Remembering that hypoventilation results in respiratory acidosis will direct
               you to the correct option.
                  Level of Cognitive Ability: Analyzing
                  Client Needs: Physiological Integrity
                  Integrated Process: Nursing Process—Assessment
                  Content Area: Foundations of Care: Acid-Base
                  Health Problem: Adult Health: Respiratory: Chest Injuries
                  Priority Concepts: Acid-Base Balance; Clinical Judgment
                  Reference: Lewis et al. (2017), p. 288.





























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