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ABG Practice

Total questions: 6

Worksheet time: 3mins

Name
Class
Date
1.

John Smith is a 62-year-old widower with a history of chronic obstructive pulmonary disease and was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough with yellow-green sputum. He has difficulty communicating because of his inability to complete a sentence. His son, Matthew, says he has been unwell for three days. Upon examination, crackles and wheezes can be heard in the lower lobes; he has tachycardia and a bounding pulse. Measurement of arterial blood gas shows pH 7.3, PaCO2 68 mm Hg, HCO3 28 mmol/L, and PaO2 60 mm Hg. How would you interpret this?

a)

Respiratory Acidosis, Uncompensated

b)

Respiratory Acidosis, Partially Compensated

c)

Metabolic Alkalosis, Uncompensated

d)

Metabolic Acidosis, Partially Compensated

2.

The normal arterial pH range is from:

a)

7.55-7.65

b)

6.85-7.15

c)

7.35-7.45

d)

7.25-7.35

3.

Billy, an elementary student, was rushed to the hospital due to vomiting and a decreased level of consciousness. The patient displays slow and deep (Kussmaul breathing), and he is lethargic and irritable in response to stimulation. He appears to be dehydrated—his eyes are sunken and mucous membranes are dry—and he has a two-week history of polydipsia, polyuria, and weight loss. Measurement of arterial blood gas shows pH 7.0, PaO2 90 mm Hg, PaCO2 23 mm Hg, and HCO3 12 mmol/L; other results are Na+ 126 mmol/L, K+ 5 mmol/L, and Cl- 95 mmol/L. What is your assessment?

a)

Respiratory Acidosis, Uncompensated

b)

Respiratory Acidosis, Partially Compensated

c)

Metabolic Alkalosis, Uncompensated

d)

Metabolic Acidosis, Partially Compensated

4.

Mrs. Jones, who had undergone surgery in the post-anesthesia care unit (PACU), is difficult to arouse two hours following surgery. Nurse Florence in the PACU has been administering Morphine Sulfate intravenously to the client for complaints of post-surgical pain. The client’s respiratory rate is 7 per minute and demonstrates shallow breathing. The patient does not respond to any stimuli. The nurse assesses the ABCs (remember Airway, Breathing, Circulation!) and obtains ABGs STAT! Measurement of arterial blood gas shows pH 7.10, PaCO2 70 mm Hg, and HCO3 24 mEq/L. What does this mean?

a)

Respiratory Alkalosis, Partially Compensated

b)

Respiratory Acidosis, Uncompensated

c)

Metabolic Alkalosis, Partially Compensated

d)

Metabolic Acidosis, Uncompensated

5.

Mr. Drew, who underwent post-abdominal surgery, has a nasogastric tube. The nurse on duty notes that the nasogastric tube (NGT) is draining a large amount (900 cc in 2 hours) of coffee ground secretions. The client is not oriented to person, place, or time. The nurse contacts the attending physician and STAT ABGs are ordered. The results from the ABGs show pH 7.57, PaCO2 37 mmHg and HCO3 30 mEq/L. What is your assessment?

a)

Metabolic Acidosis, Uncompensated

b)

Metabolic Alkalosis, Uncompensated

c)

Respiratory Alkalosis, Uncompensated

d)

Metabolic Alkalosis, Partially Compensated

6.

Which artery is the most commonly used to obtain an ABG?

a)

Brachial

b)

Ulnar

c)

Femoral

d)

Radial