Concept 09 Acid Base Balance Concepts For Nursing Practice

This study source was downloaded by 100000802832151 from CourseHero.com on 10-27-2022 07:55:26 GMT -05:00https://www.coursehero.com/file/125319400/09pdf/ G R A D E S L A B . C O MConcept 09: AcidBase Balance Giddens: Concepts for Nursing Practice, 3rd Edition MULTIPLE CHOICE 1. The patient had diarrhea for 5 days and developed an acid-base imbalance. Which statement ZRXOGLQGLFDWHWKDWWKHQXUVHVWHDFKLQJDERXWWKHDFLG-base imbalance has been effective? a. 7RSUHYHQWDQRWKHUSUREOHP,VKRXOGHDWOHVVVRGLXPGXULQJGLDUUKHD b. 0\EORRGEHFDPHWRRDFLGEHFDXVH,ORVWVRPHEDVHLQWKHGLDUUKHDIOXLG c. 'LDUUKHDUHPRYHVIOXLGIURPWKHERG\VR,VKRXOGGULQNPRUHLFHZDWHU d. ,VKRXOGWU\WRVORZP\EUHDWKLQJVRP\DFLGVDQGEDVHVZLOOEHEDODQFHG ANS: B Diarrhea causes metabolic acidosis through loss of bicarbonate, which is a base. Eating less sodium during diarrhea increases the risk of ECV deficit. Although diarrhea does remove fluid from the body, it also removes sodium and bicarbonate which need to be replaced. Rapid deep respirations are the compensatory mechanism for metabolic acidosis and should be encouraged rather than stopped. OBJ: NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation 2. The patient has type B chronic obstructive pulmonary disease (COPD) exacerbated by an acute upper respiratory infection. Which blood gas values should the nurse expect to see? a. pH high, PaCO2 high, HCO3 high b. pH low, PaCO2 low, HCO3 low c. pH low, PaCO2 high, HCO3 high d. pH low, PaCO2 high, HCO3 normal ANS: C Type B COPD is a