A nurse in a respiratory unit of a hospital is providing care for a client with end-stage lung disease. Consequently, measurement of the client's arterial blood gases indicates increased PCO2

Which of the following associated consequences would the nurse anticipate?
A)
A shift to the left of the oxygen-hemoglobin dissociation curve
B)
Lower than normal production of HCO3
C)
Higher than normal production of H+
D)
An absence of carbaminohemoglobin


Ans:
C

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As a result of the combination of water and carbon dioxide, hydrogen ions are produced along with bicarbonate. This would be associated with a shift to the right of the oxygen-hemoglobin dissociation curve, increased bicarbonate output, and higher than normal levels of carbaminohemoglobin.

Nursing

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