1- A nurse is reviewing the laboratory results of a client who has metabolic alkalosis. Which of the following laboratory values should the nurse expect?

A. pH 7.31, HCO3- 22 mEq/L, PaCO2 50 mmHg

B. pH 7.48, HCO3- 23 mEq/L, PaCO2 25 mmHg

C. pH 7.32, HCO3- 18 mEq/L, PaCO2 40 mmHg

D. pH 7.49, HCO3- 32 mEq/L, PaCO2 40 mmHg

2- A nurse in the emergency department is assessing a client who has deep, rapid respirations. Arterial blood gas analysis includes the following values: pH 7.25, PaCO2 40, and HCO3- 18. Which of the following acid-base imbalances should the nurse identify and report to the provider?

A. Respiratory alkalosis

B. Metabolic alkalosis

C. Respiratory acidosis

D. Metabolic acidosis

3- A nurse is caring for a client who is extremely anxious and is hyperventilating. The client's ABG results are pH 7.50, PaCO2 27 mmHg, and HCO3- 25 mEq/L. The nurse should identify that the client has which of the following acid-base imbalances?

A. Respiratory acidosis

B. Metabolic acidosis

C. Respiratory alkalosis

D. Metabolic alkalosis

4- A nurse is caring for an older adult client who has chronic obstructive pulmonary disease (COPD) with pneumonia. The nurse should monitor the client for which of the following acid-base imbalances?

A. Respiratory alkalosis

B. Respiratory acidosis

C. Metabolic alkalosis

D. Metabolic acidosis

5- A nurse is reviewing a client’s laboratory report. The client’s ABG levels are pH 7.5, PaCO2 32 mmHg, and HCO3- 24 mEq/L. The nurse should determine that the client has which of the following acid-base imbalances?

A. Respiratory alkalosis

B. Metabolic acidosis