2023 ATI Med-Surg Chapter 13: Fluid and Electrolytes Balance and Disturbance QUESTIONS & ANSWERS GRADED A+.
Question 4
A 64-year-old client is
... [Show More] brought in to the clinic feeling thirsty with dry, sticky mucous membranes; decreased urine output; fever; a rough tongue; and is lethargic. Serum sodium level is above 145 mEq/l (145 mmol/L). Should the nurse start salt tablets when caring for this client?
• No, sodium intake should be restricted.
Question
A client admitted with acute anxiety has the following arterial blood gas (ABG) values: pH, 7.55; partial pressure of arterial oxygen (PaO2), 90 mm Hg; partial pressure of arterial carbon dioxide (PaCO2), 27 mm Hg; and bicarbonate (HCO –), 24 mEq/L. Based on these values, the nurse suspects:
• respiratory alkalosis.
Question
A client comes to the emergency department with status asthmaticus. His respiratory rate is 48 breaths/minute, and he is wheezing. An arterial blood gas analysis reveals a pH of 7.52, a partial pressure of arterial carbon dioxide (PaCO2) of 30 mm Hg, PaO2 of 70 mm Hg, and bicarbonate (HCO3) of 26 mEq/L. What disorder is indicated by these findings?
• Respiratory alkalosis
Question
A client experiencing a severe anxiety attack and hyperventilating presents to the emergency department. The nurse would expect the client’s pH value to be
• 7.50
Question
A client has been admitted to the hospital unit with signs and symptoms of hypovolemia; however, the client has not lost weight. The client exhibits a localized enlargement of her abdomen. What condition could the client be presenting?
• third-spacing
Question
A client has been diagnosed with an intestinal obstruction and has a nasogastric tube set to low continuous suction. Which acid-base disturbance is this client at risk for developing?
• Metabolic alkalosis
Question
A client has the following arterial blood gas (ABG) values: pH, 7.12; partial pressure of arterial carbon dioxide (PaCO2), 40 mm Hg; and bicarbonate (HCO3–), 15 mEq/L. These ABG values suggest which disorder?
• Metabolic acidosis
Question
A client hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis?
• Light-headedness or paresthesia [Show Less]