The nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD) and experiencing respiratory acidosis. The client asks what is making the acidotic state
The nurse is most correct to identify which result of the disease process that causes the rise in pH? A) The lungs are unable to breathe in sufficient oxygen.
B) The lungs are unable to exchange oxygen and carbon dioxide.
C) The lungs have ineffective cilia from years of smoking.
D) The lungs are not able to blow off carbon dioxide.
D
Feedback:
In clients with chronic respiratory acidosis, the client is unable to blow off carbon dioxide leaving in increased amount of hydrogen in the system. The increase in hydrogen ions leads to acidosis. In COPD, the client is able to breathe in oxygen and gas exchange can occur, it is the lungs ability to remove the carbon dioxide from the system. Although individuals with COPD frequently have a history of smoking, cilia is not the cause of the acidosis.
You might also like to view...
The population health nurse is making a graph to show some of the common diseases that are transmitted through sexual contact. The diseases that should be on the graph are:
1. Chlamydia, hepatitis A, and human immunodeficiency virus. 2. Gonorrhea, hepatitis C, and hepatitis A. 3. Genital herpes, hepatitis B, and syphilis. 4. Syphilis, haemophilus influenzae type B, and gonorrhea.
In diabetes, the body lacks or is unable to use:
a. Estrogen b. Testosterone c. Insulin d. Protein and carbohydrates
Which medication may be prescribed for a client who recently had surgery and has a small amount of oozing and bleeding from the surgery site?
1. Thrombin (Evithrom) 2. Warfarin (Coumadin) 3. Enoxaparin (Lovenox) 4. Aspirin
A middle-aged man without evidence of external blood loss has a normocytic anemia with a greatly elevated percentage of reticulocytes. What is the most likely diagnosis?
A. Pernicious anemia B. Iron-deficiency anemia C. Hemolytic anemia D. Aplastic anemia