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NUR 2392 / NUR2392: Multidimensional Care II / MDC 2 Exam 2 (2022/2023) Rasmussen College

NUR 2392 / NUR2392: Multidimensional Care II / MDC 2 Exam 2 (2022/2023) Rasmussen College

NUR 2392 / NUR2392: Multidimensional Care II / MDC 2 Exam 2
(2022/2023) Rasmussen College
A patient is brought into the ED with respiratory depression. The patient has a history of COPD.
What acid-base imbalance is most likely?
- Respiratory Acidosis. The patient likely has a build-up of CO2, causing respiratory acidosis.
The nurse is evaluating the lab work of a patient who has uncontrolled metabolic acidosis.
Which lab result would result from this condition?
A) pH 7.4
B) PaO2 98 mm Hg
C) bicarbonate 38 mEq/ L
D) serum potassium 5.7 mEq/L Serum potassium increases during acidosis to try to buffer the
acidic conditions.
The nurse is reviewing the standing orders for a patient who was admitted for evaluation of
chest pain. The patient has a history of chronic obstructive pulmonary disease (COPD) and his
laboratory results and assessment reveal that he has mild respiratory acidosis. The nurse would
question which order?
A.Encourage oral fluids
B.Keep head of bed elevated
C.Oxygen therapy at 4 L/min as needed
D.Bedrest with bathroom privileges only
- C) Oxygen therapy at 4L/ Min as needed. Oxygen therapy is often ordered for respiratory
acidosis. However, COPD patients have a difficult time off-loading carbon dioxide and giving too
much oxygen can cause these patients to have a decrease in respiratory drive, leading to
respiratory arrest.
A client has acute alcohol intoxication. What acid-base imbalance is the client at risk for? -
metabolic acidosis.
A client comes into the ED with respiratory acidosis. What type of medication would the nurse
likely administer? - bronchodilators
A client comes into the ED with a high fever and is hyperventilating. His ABG results are pH
7.51, PaCO2 28 mm Hg, and HCO3 24 mEq/L. The nurse should identify that the client has which
acid-base imbalance? - Respiratory Alkalosis. Because the client is breathing rapidly, he is
exhaling excessive amounts of carbon dioxide. This loss of carbon dioxide decreases the
hydrogen ion level of the blood, causing the pH to increase and resulting in respiratory
alkalosis.
A nurse is caring for a client who has metabolic alkalosis. As the client compensates for this a

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