NursingNursing PracticeConcepts for Nursing PracticePractice Set 8Acid-base Balance
Questions Bank
- DevelopmentFunctional AbilityFamily DynamicsCultureSpiritualityAdherenceSelf-ManagementFluid and Electrolyte BalanceAcid-Base BalanceThermoregulationSleepCellular RegulationIntracranial RegulationHormonal RegulationGlucose RegulationNutritionEliminationPerfusionGas ExchangeClottingReproductionSexualityImmunityInflammationInfectionMobilityTissue IntegritySensory PerceptionPainFatigueStressCopingMood and AffectAnxietyCognitionPsychosisAddictionInterpersonal ViolenceProfessional IdentityClinical JudgmentLeadershipEthicsPatient EducationHealth PromotionCommunicationCollaborationSafetyTechnology and InformaticsEvidenceHealth Care QualityCare CoordinationCaregivingPalliationHealth DisparitiesHealth Care OrganizationsHealth Care EconomicsHealth PolicyHealth Care Law
The patient had diarrhea for 5 days and developed an acid-base imbalance. Which statement would indicate that the nurse's teaching about the acid-base imbalance has been effective?
"To prevent another problem, I should eat less sodium during diarrhea."
"My blood became too acid because I lost some base in the diarrhea fluid."
"Diarrhea removes fluid from the body, so I should drink more ice water."
"I should try to slow my breathing so my acids and bases will be balanced."
The patient has type B chronic obstructive pulmonary disease (COPD) exacerbated by an acute upper respiratory infection. Which blood gas values should the nurse expect to see?
pH high, PaCO2 high, HCO3- high
pH low, PaCO2 low, HCO3- low
pH low, PaCO2 high, HCO3- high
pH low, PaCO2 high, HCO3- normal
The patient has severe hyperthyroidism and will have surgery tomorrow. What assessment is most important for the nurse to assess in order to detect development of the acid-base imbalance for which the patient has highest risk?
Urine output and color
Level of consciousness
Heart rate and blood pressure
Lung sounds in lung bases
The nurse is making a home visit to a child who has a chronic disease. Which finding has the greatest implication for acid-base aspects of this patient's care?
Urine output is very small today.
Whites of the eyes appear more yellow.
Skin around the mouth is very chapped.
Skin is sweaty under three blankets.
The nurse has telephone messages from four patients who requested information and assistance. Which one should the nurse refer to a social worker or community agency first?
"Is there a place that I can dispose of my unused morphine pills?"
"I want to lose at least 20 pounds without getting sick this time."
"I think I have asthma because I cough when dogs are near."
"I ran out of money and am cutting my insulin dose in half."