Which arterial blood gas values indicate to the nurse that the client is experiencing ketoaci-dosis?
A. pH 7.38, HCO3– 22 mEq/L, PCO2 38 mm Hg, PO2 98 mm Hg
B. pH 7.28, HCO3– 18 mEq/L, PCO2 28 mm Hg, PO2 98 mm Hg
C. pH 7.48, HCO3– 28 mEq/L, PCO2 38 mm Hg, PO2 98 mm Hg
D. pH 7.28, HCO3– 22 mEq/L, PCO2 58 mm Hg, PO2 88 mm Hg
B
When the lungs can no longer offset the acidosis, the pH decreases below normal. The arterial blood gases show primary metabolic acidosis with decreased bicarbonate levels and a compen-satory respiratory alkalosis with decreased carbon dioxide levels.
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True False
The nurse is instructing a patient recently diagnosed with GERD. Which statement by the patient indicates a need for further teaching?
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