[CNS changes] Show [Neuromuscular changes] [Cardiovascular changes] § Psychosocial assessment: Cognitive changes may be the first signs of acidosis. Assess the patient's mental status for awareness of time, place, and person. Determine whether the patient is able to perform simple cognitive tasks such as counting backward by threes. Behavior changes may accompany acidosis. Recommended textbook solutions
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Terms in this set (20)A nurse assesses a client with diabetes mellitus who is admitted with an acid-base imbalance. The client's arterial blood gas values are pH 7.36, PaO2 98 mm Hg, PaCO2 33 mm Hg, and HCO3- 18 mEq/L. Which manifestation should the nurse identify as an example of the client's compensation mechanism? Increased rate and depth of respirations A nurse assesses a client who is experiencing an acid-base imbalance. The client's arterial blood gas values are pH 7.34, PaO2 88 mm Hg, PaCO2 38 mm Hg, and HCO3- 19 mEq/L. Which assessment should the nurse perform first? Cardiac rate and rhythm A nurse assesses a client who is prescribed furosemide (Lasix) for hypertension. For which acid-base imbalance should the nurse assess to prevent complications of this therapy? Metabolic alkalosis A nurse is caring for a client who is experiencing moderate metabolic alkalosis. Which action should the nurse take? Teach the client fall prevention measures. A nurse is assessing a client who has acute pancreatitis and is at risk for an acid-base imbalance. For which manifestation of this acid-base imbalance should the nurse assess? Kussmaul respirations A nurse assesses a client who is admitted with an acid-base imbalance. The client's arterial blood gas values are pH 7.32, PaO2 85 mm Hg, PaCO2 34 mm Hg, and HCO3- 16 mEq/L. What action should the nurse take next? Assess client's rate, rhythm, and depth of respiration. A nurse is caring for a client who has the following arterial blood values: pH 7.12, PaO2 56 mm Hg, PaCO2 65 mm Hg, and HCO3- 22 mEq/L. Which clinical situation should the nurse correlate with these values? Bronchial obstruction related to aspiration of a hot dog A nurse is caring for a client who has just experienced a 90-second tonic-clonic seizure. The client's arterial blood gas values are pH 6.88, PaO2 50 mm Hg, PaCO2 60 mm Hg, and HCO3- 22 mEq/L. Which action should the nurse take first? Apply oxygen by mask or nasal cannula. After teaching a client who was malnourished and is being discharged, a nurse assesses the client's understanding. Which statement indicates the client correctly understood teaching to decrease risk for the development of metabolic acidosis? "I will eat three well-balanced meals and a snack daily." A nurse evaluates the following arterial blood gas values in a client: pH 7.48, PaO2 98 mm Hg, PaCO2 28 mm Hg, and HCO3- 22 mEq/L. Which client condition should the nurse correlate with these results? Anxiety-induced hyperventilation After providing discharge teaching, a nurse assesses the client's understanding regarding increased risk for metabolic alkalosis. Which statement indicates the client needs additional teaching? "I take sodium bicarbonate after every meal to prevent heartburn." A nurse is caring for a client who is experiencing excessive diarrhea. The client's arterial blood gas values are pH 7.28, PaO2 98 mm Hg, PaCO2 45 mm Hg, and HCO3- 16 mEq/L. Which provider order should the nurse expect to receive? Sodium bicarbonate 100 mEq diluted in 1 L of D5W A nurse evaluates a client's arterial blood gas values (ABGs): pH 7.30, PaO2 86 mm Hg, PaCO2 55 mm Hg, and HCO3- 22 mEq/L. Which intervention should the nurse implement first? Assess the airway. A nurse is planning care for a client who is hyperventilating. The client's arterial blood gas values are pH 7.30, PaO2 94 mm Hg, PaCO2 31 mm Hg, and HCO3- 26 mEq/L. Which question should the nurse ask when developing this client's plan of care? "You appear anxious. What is causing your distress?" A nurse is caring for a client who has chronic emphysema and is receiving oxygen therapy at 6 L/min via nasal cannula. The
following clinical data are available: Notify the Rapid Response Team and provide ventilation support. A nurse is planning interventions that regulate acid-base balance to ensure the pH of a client's blood remains within the normal range. Which abnormal physiologic functions may occur if the client experiences an acid-base imbalance? (Select all that apply.) Reduction in the function of hormones A nurse assesses a client who is experiencing an acid-base imbalance. The client's arterial blood gas values are pH 7.32, PaO2 94 mm Hg, PaCO2 34 mm Hg, and HCO3- 18 mEq/L. For which clinical manifestations should the nurse assess? (Select all that apply.) Reduced deep tendon reflexes A nurse is assessing clients who are at risk for acid-base imbalance. Which clients are correctly paired with the acid-base imbalance? (Select all that apply.) Metabolic acidosis - Older adult who is following a carbohydrate-free diet A nurse assesses a client who is receiving total parenteral nutrition. For which adverse effects related to an acid-base imbalance should the nurse assess? (Select all that apply.) Positive Chvostek's sign A nurse is planning care for a client who is anxious and irritable. The client's arterial blood gas values are pH 7.30, PaO2 96 mm Hg, PaCO2 43 mm Hg, and HCO3- 19 mEq/L. Which questions should the nurse ask the client and spouse when developing the plan of care? (Select all that apply.) "Is
your spouse's current behavior typical?" Students also viewedChapter 12 Acid Base20 terms
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physics Two very large metal parallel plates that are $25 \mathrm{~cm}$ apart, oriented perpendicular to a sheet of paper, are connected across the terminals of a $50.0 \mathrm{~V}$ battery.\ (a) Draw to scale the lines where the equipotential surfaces due to these plates intersect the paper. Limit your drawing to the region between the plates, avoiding their edges, and draw the lines for surfaces that are $10.0 \mathrm{~V}$ apart, starting at the low-potential plate.\ (b) These surfaces are separated equally in potential. Are they also separated equally in distance?\ (c) In words, describe the shape and orientation of the surfaces you just found. Verified answer
physics Hydrogen's single electron can occupy any of the atom's distinct quantum states. Determine the number of distinct quantum states in the n = 1 energy levels. Verified answer Recommended textbook solutionsClinical Reasoning Cases in Nursing7th EditionJulie S Snyder, Mariann M Harding 2,512 solutions
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What method is used to assess the acidA doctor evaluates a person's acid-base balance by measuring the pH and levels of carbon dioxide (an acid) and bicarbonate (a base) in the blood. Blood alkalinity increases when the level of acid in the body decreases or when the level of base increases.
Which assessments would the nurse perform in all patients experiencing an acid base imbalance?Evaluate the PaO2 and O2 saturation level. Evaluate the pH to determine if it is acidotic, alkalotic, or within normal range. Evaluate the PaCO2 and HCO3- to determine if the imbalance is respiratory or metabolic. Evaluate whether or not compensation is occurring.
What are the parameters in assessing acidThree parameters measured during blood gas analysis, arterial blood pH (pH), partial pressure of carbon dioxide in arterial blood (pCO2(a)) and concentration of bicarbonate (HCO3–) are of crucial importance (see Table I for reference (normal) range).
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