The nurse is working with a child who has a drug overdose. Respirations are decreased and shallow. Arterial blood gases show the child's pH is decreased and the pCO2 is elevated. The nurse realizes that this child is in:
a. respiratory alkalosis c. metabolic alkalosis
b. respiratory acidosis d. metabolic acidosis
B
Feedback
A Incorrect: The nurse realizes that this child is in not in respiratory alkalosis.
B Correct: The nurse is working with a child who has a drug overdose. Respirations are decreased and shallow. Arterial blood gases show the child's pH is decreased and the pCO2 is elevated. The nurse realizes that this child is in respiratory acidosis. Respiratory acidosis can be caused by any condition that decreases a child's respiratory effort. Slowed or shallow respirations will result in a build up of carbon dioxide, which combined with water forms carbonic acid and leads to acidosis.
C Incorrect: The nurse realizes that this child is in not in metabolic alkalosis.
D Incorrect: The nurse realizes that this child is in not in metabolic acidosis.
You might also like to view...
A client reports that nearly every night she awakens feeling frightened after a bad dream. The dream
usually involves being hunted by individuals who wish to harm her. She tells the nurse that the awakening consistently takes place between 4 and 5 AM. The nurse assesses this disorder as being most consistent with DSM-IV-TR criteria for a. sleep talking. b. nightmare disorder. c. night terror disorder. d. REM sleep behavior disorder.
Since returning from surgery the client has not voided for 8 hours; therefore, the nurse determines it is necessary to assess the client for bladder distention
The nurse would palpate for bladder distention with the client in which of the following positions? 1. Supine with only a small pillow under their head. 2. Prone position 3. Sitting in bed at a 45-degree angle 4. Lying in a left lateral position
A client is being admitted for the eighth exacerbation of chronic pancreatitis in 2 years. The client is frail and emaciated and becomes agitated when the nurse asks about pain medication
Which referral can the nurse make to best meet this client's needs and address potential complications of the condition? The nurse should request a referral to a a. chaplain for spiritual distress related to the chronic nature of the disease. b. chemical dependency counselor to assess and treat substance abuse. c. medical nutritionist to assess and treat the client's malnutrition. d. surgeon to assess whether or not this client can be treated surgically.
The nurse wants to assess a client during the morning bath. What will the nurse be able to assess during this time?
1. Skin status 2. Financial status 3. Psychosocial needs 4. Learning needs 5. Physical conditions