A child with croup has an increased PCO2, a decreased pH, and a normal HCO3 blood gas value. Which does the nurse report to the healthcare provider based on these data?
1. Uncompensated metabolic alkalosis
2. Uncompensated metabolic acidosis
3. Uncompensated respiratory acidosis
4. Uncompensated respiratory alkalosis
3
Explanation:
1. Uncompensated metabolic alkalosis has an increased pH, normal PCO2, and increased HCO3.
2. Uncompensated metabolic acidosis has a decreased pH, normal PCO2, and normal HCO3.
3. If the pH is decreased and the PCO2 is increased with a normal HCO3, it is uncompensated respiratory acidosis. Also, croup can be a disease process that causes respiratory acidosis.
4. Uncompensated respiratory alkalosis has an increased pH, decreased PCO2, and normal HCO3.
You might also like to view...
Parents inquire about the correct placement of a car seat for their 15-month-old toddler who weighs 22 pounds. The nurse explains that the child should:
a. Be placed sitting forward in a safety seat b. Be placed in a booster seat c. Be placed in a car seat if sitting in the front seat d. Always ride in a seat equipped with an airbag
A patient presents with poison ivy on the extremities, face, and buttocks after an initial exposure 48 hours ago. This condition is an example of:
a. anaphylaxis. b. serum sickness. c. delayed hypersensitivity. d. viral disease.
The person at greatest risk for developing cirrhosis or liver cancer is a(n)
a. young woman who drinks a glass of wine every day. b. young man who travels extensively to tropical countries. c. middle-aged overweight man with gallstones. d. older adult infected with hepatitis C virus (HCV).
After taking a brief health history, a nurse needs to complete a focused assessment on which patient?
a. A male who works as a painter b. A male who plays basketball and hockey c. A female who recently moved into a college dormitory d. A female who has a history of gout