A client is brought to the emergency department by a neighbor. The client is lethargic and has a fruity odor on the breath. The client's arterial blood gas (ABG) results are pH 7.25, PaCO234 mm Hg (4.52 kPa), PaO2 86 mm Hg (11.3 kPa), HCO3 14 mEq/L (14 mmol/L). Which acid-base disturbance does the nurse recognize in these results?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
Answer: A. Metabolic acidosis
You might also like to view...
A student nurse is having difficulty establishing relationships with patients. What should this student be counseled to do?
1. Focus on the purpose of a therapeutic alliance. 2. Study cognitive theory. 3. Review the concepts of caring. 4. Develop self-awareness to focus on being helpful to patients.
When the nurse cleanses the patient's leg during a bed bath, it will allow for
A) Assessment of pain B) Increased circulation C) Decreased restless leg syndrome D) Promotion of social interaction
When preparing to insert an IV, the nurse reviews the client history to determine if there are sites that have been affected by preexisting conditions
Conditions that may limit available veins include:(Select all that apply) Standard Text: Select all that apply. 1. Pregnancy 2. Fluid overload 3. CVA 4. Orthopedic surgery 5. Dialysis shunt
The physician orders potassium gluconate (Kaylixir) 45 mEq. The solution contains 20 mEq per 15 mL. How many mL would you administer?
1. 60 mL 2. 2.4 mL 3. 33.75 mL 4. 24 mL