The nurse is assigned to a client with insulin-dependent diabetes who was brought to the emergency department because of shortness of breath and confusion. On admission, the client's blood glucose level is 720 mg/ml, and ABG values are pH of 7
28, PaCO2 of 35 mm Hg, and bi-carbonate level of 15 mEq/L. The nurse interprets these readings as indicating a. compensated metabolic acidosis.
b. compensated respiratory acidosis.
c. uncompensated metabolic acidosis.
d. uncompensated respiratory acidosis.
C
Diabetic ketoacidosis is one etiology of metabolic acidosis. The low pH represents an uncom-pensated state. The normal PaCO2 backs up the nurse's assessment that the respiratory system has not yet started compensating.
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