1- A nurse isreviewing 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
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