Acid Base Balance Nursing

Which acid / base imbalance do the following ABG's indicate?

pH - 7.49

pCO2 - 29

HCO3 - 23

paO2 - 78

• Respiratory Alkalosis

• Respiratory Acidosis

• Metabolic Acidosis

• Metabolic Alkalosis

Tags

NGSS.HS-PS1-2

A patient with heart failure comes to the ER with complaints nausea and vomiting over the last 3-4 days. What acid / base imbalance do you suspect?

• respiratory alkalosis

• respiratory acidosis

• metabolic acidosis

• metabolic alkalosis

Tags

NGSS.HS-LS1-3

A patient who was helping getting people out of a burning building comes to the ER with cough and shortness of breath. The SaO2 is 100%. If any, what acid / base imbalance do you suspect?

• No imbalance

• Respiratory Alkalosis

• Respiratory Acidosis

• Metabolic Acidosis

When caring for a patient with chronic heart failure and chronic kidney failure, you receive the following lab results:

Na+ = 131

K+ = 6.2

Creatinine = 2.89

BUN = 66

What nursing action will the nurse take first?

• Start IV isotonic fluids.

• Increase Na+ in diet order.

• Begin monitoring of cardiac rhythm.

• Teach about the need for dialysis.

Best interpretation of the following ABG's.

pH - 7.33

pCO2 - 32

pHCO3 - 18

PaO2 - 92

Sa O2 - 97%

• Fully compensated respiratory acidosis

• Partially compensated respiratory acidosis

• Fully compensated metabolic acidosis

• Partially compensated metabolic acidosis

The nurse is caring for a patient with metabolic acidosis related to recent uncontrolled loose stools. Which of the following interventions will the nurse carry out first?

• Give the patient an antiemetic.

• Schedule the patient for dialysis.

• Check patients fluid balance and electrolytes.

• Investigate the patient's usual dietary plan.

The nurse receives the following ABG's on a patient being admitted.

pH - 7.33

pCO2 - 52

pHCO3 - 29

paO2 - 75

saO2 - 88%

Which of the following is most likely the cause of this imbalance?

• pulmonary embolism

• chronic kidney disease

• chronic bronchitis

• hyperventilation

The nurse caring for a patient with heart failure receives an oral report of a critical potassium level of 6.3 on the patient. What actions will the nurse take? Select all that apply.

• Prepare the patient to receive IV potassium.

• Place the patient on cardiac rhythm monitoring.

• Check the patient's kidney function.

• Place the patient on bleeding precautions.

• Hold the scheduled dose of furosemide.

Interpret the following ABG's.

pH - 7.43

pCO2 - 49

pHCO3 - 30

A patient in the PACU after a partial thyroidectomy suddenly develops stridor and low oxygen saturation. The nurse suspects a laryngeal spasm. What action does the nurse take to correct this complication?

• Administer oxygen

• Prone the patient

• Intubate the patient

• Give IV calcium