search

A client has been diagnosed with metabolic acidosis. what assessment finding does the nurse expect?

1 Jahrs vor
Kommentare: 0
Ansichten: 121

This NCLEX quiz will test your ability to differentiate between metabolic acidosis vs metabolic alkalosis. You will be required to know the causes, signs and symptoms, and how to interpret blood gas values in this quiz.

Show

As a nursing student, it is crucial you know the basics about acid-base imbalances. Below are common test questions you may encounter on your nursing lecture exam or NCLEX licensing exam.

Also, don’t forget to take our free Arterial Blood Gas (ABGs) Quiz.

Metabolic Alkalosis and Metabolic Acidosis NCLEX Quiz | Acid-Basae Imbalances Quiz

This quiz will test your knowledge on the differences between metabolic alkalosis and metabolic acidosis.

  • 1. Diabetic ketoacidosis, aspirin toxicity, and renal failure are examples of the causes of ___________________.*

    • A. High anion gap metabolic acidosis
    • B. Normal anion gap metabolic acidosis
    • C. Low anion gap metabolic acidosis
    • D. Normal anion gap respiratory acidosis

  • 2. In metabolic alkalosis, the blood pH level:*

    • A. Increases
    • B. Decreases
    • C. Stays the same

  • 3. A patient is in metabolic alkalosis due to diuretic therapy. How do you expect the potassium level and bicarbonate level to be affected?*

    • A. Increased potassium level and increased bicarb level
    • B. Decreased potassium level and decreased bicarb level
    • C. Increased potassium level and decreased bicarb level
    • D. Decreased potassium level and increase bicarb level

  • 4. A patient has the following arterial blood gases: HCO3 38, pH 7.50, PaCO2 50. Which of the following signs may this patient exhibit as a compensatory mechanism?*

    • A. Hyperventilation (tachypnea)
    • B. Hypoventilation (bradypnea)
    • C. Increased potassium level (hyperkalemia)
    • D. Constipation

  • 5. What of the following is NOT a cause of metabolic alkalosis?*

    • A. Hyperaldosteronism
    • B. Usage of Diamox
    • C. Nasogastric suctioning
    • D. Diuretic therapy

  • A patient states they have been vomiting for the last 4 days. The patient is irritable, weak, and reporting muscle cramping and weakness. On assessment, the patient is experiencing bradypnea with a respiratory rate of 10. The patient has the following ABGs result: HCO3 36, pH 7.52, PaCO2 48. Which condition below is presenting?*

    • A. Metabolic alkalosis partially compensated
    • B. Metabolic alkalosis fully compensated
    • C. Metabolic acidosis partially compensated
    • D. Metabolic acidosis not compensated

  • 7. Which of the following is NOT a cause of metabolic acidosis?*

    • A. Aspirin toxicity
    • B. Ileostomy
    • C. Hyperaldosteronism
    • D. Carbonic anhydrase inhibitors

  • 8. A patient reports taking Diamox and has been reporting confusion, fatigue, and headaches. On assessment, you note the patient is exhibiting deep and rapid respirations. Which arterial blood gas finding below confirms the acid-base imbalance for this patient given their symptoms and medication usage?*

    • A. HCO3 12, pH 7.19, PaCO2 29
    • B. HCO3 23, pH 7.36, PaCO2 36
    • C. HCO3 10, pH 7.65, PaCO2 47
    • D. PaCO2 49, pH 7.55, HCO3 21

  • 9. A patient is in high anion gap metabolic acidosis due to diabetic ketoacidosis. Which of the following signs and symptoms would you expect to see in this patient?*

    • A. Kussmaul’s respirations
    • B. Glucose 110
    • C. Hypoventilation
    • D. Neuro-excitability

  • 10. A patient has the following arterial blood gases: PaCO2 33, HCO3 15, pH 7.23. Which condition below is presenting?*

    • A. Metabolic alkalosis partially compensated
    • B. Metabolic acidosis partially compensated
    • C. Respiratory alkalosis not compensated
    • D. Metabolic acidosis fully compensated

(NOTE: When you hit submit, it will refresh this same page. Scroll down to see your results.)

After you are done taking the quiz and click submit, the page will refresh and you will need to scroll down to see what you got right and wrong. In addition, below this quiz is a layout of the quiz with an answer key (if you wanted to print off the quiz..just copy and paste it). Don’t forget to share this quiz with your friends! Please do not re-post on other websites, however.

1. Diabetic ketoacidosis, aspirin toxicity, and renal failure are examples of the causes of ___________________.
A. High anion gap metabolic acidosis
B. Normal anion gap metabolic acidosis
C. Low anion gap metabolic acidosis
D. Normal anion gap respiratory acidosis
The answer is A: High anion gap metabolic acidosis

2. In metabolic alkalosis, the blood pH level:
A. Increases
B. Decreases
C. Stays the same
The answer is A: increases

3. A patient is in metabolic alkalosis due to diuretic therapy. How do you expect the potassium level and bicarbonate level to be affected?
A. Increased potassium level and increased bicarb level
B. Decreased potassium level and decreased bicarb level
C. Increased potassium level and decreased bicarb level
D. Decreased potassium level and increase bicarb level
The answer is D: Decreased potassium level and increase bicarb level

4. A patient has the following arterial blood gases: HCO3 38, pH 7.50, PaCO2 50. Which of the following signs may this patient exhibit as a compensatory mechanism?
A. Hyperventilation (tachypnea)
B. Hypoventilation (bradypnea)
C. Increased potassium level (hyperkalemia)
D. Constipation
The answer is B: Hypoventilation (bradypnea)

5. What of the following is NOT a cause of metabolic alkalosis?
A. Hyperaldosteronism
B. Usage of Diamox
C. Nasogastric suctioning
D. Diuretic therapy
The answer is B: Usage of Diamox

A patient states they have been vomiting for the last 4 days. The patient is irritable, weak, and reporting muscle cramping and weakness. On assessment, the patient is experiencing bradypnea with a respiratory rate of 10. The patient has the following ABGs result: HCO3 36, pH 7.52, PaCO2 48. Which condition below is presenting?
A. Metabolic alkalosis partially compensated
B. Metabolic alkalosis fully compensated
C. Metabolic acidosis partially compensated
D. Metabolic acidosis not compensated
The answer is A: Metabolic alkalosis partially compensated

7. Which of the following is NOT a cause of metabolic acidosis?
A. Aspirin toxicity
B. Ileostomy
C. Hyperaldosteronism
D. Carbonic anhydrase inhibitors
The answer is C: Hyperaldosteronism

8. A patient reports taking Diamox and has been reporting confusion, fatigue, and headaches. On assessment, you note the patient is exhibiting deep and rapid respirations. Which arterial blood gas finding below confirms the acid-base imbalance for this patient given their symptoms and medication usage?
A. HCO3 12, pH 7.19, PaCO2 29
B. HCO3 23, pH 7.36, PaCO2 36
C. HCO3 10, pH 7.65, PaCO2 47
D. PaCO2 49, pH 7.55, HCO3 21
The answer is A: HCO3 12, pH 7.19, PaCO2 29 This patient is at risk for metabolic acidosis, especially since they are taking Diamox (Carbonic anhydrase inhibitors which reduces the reabsorption of bicarb). HCO3 12, pH 7.19, PaCO2 29 are the only ABGs that reflect metabolic acidosis.

9. A patient is in high anion gap metabolic acidosis due to diabetic ketoacidosis. Which of the following signs and symptoms would you expect to see in this patient?
A. Kussmaul’s respirations
B. Glucose 110
C. Hypoventilation
D. Neuro-excitability
The answer is A: Kussmaul’s respirations

10. A patient has the following arterial blood gases: PaCO2 33, HCO3 15, pH 7.23. Which condition below is presenting?
A. Metabolic alkalosis partially compensated
B. Metabolic acidosis partially compensated
C. Respiratory alkalosis not compensated
D. Metabolic acidosis fully compensated
The answer is B: Metabolic acidosis partially compensated

A client has been diagnosed with metabolic acidosis. what assessment finding does the nurse expect?

Don’t forget to tell your friends about this quiz by sharing it your Facebook, Twitter, and other social media. You can also take more fun nursing quizzes.

*Disclaimer: While we do our best to provide students with accurate and in-depth study quizzes, this quiz/test is for educational and entertainment purposes only. Please refer to the latest NCLEX review books for the latest updates in nursing. This quiz is copyright RegisteredNurseRn.com. Please do not copy this quiz directly; however, please feel free to share a link to this page with students, friends, and others.

How do you check for metabolic acidosis?

The only definitive way to diagnose metabolic acidosis is by simultaneous measurement of serum electrolytes and arterial blood gases (ABGs), which shows pH and PaCO2 to be low; calculated HCO3- also is low. (For more information, see Metabolic Alkalosis.)

Which arterial blood gas values tell the nurse a client is in metabolic acidosis?

Metabolic acidosis is characterized by a pH level below 7.35 and an HCO3 level below 22 when reviewing ABGs. It is important to notice that both the pH and HCO3 decrease with metabolic acidosis (i.e., the pH and HCO3 move in the same downward direction).

What are the three blood variables considered when making a diagnosis of acidosis?

These variables are carbon dioxide, relative electrolyte concentrations, and total weak acid concentrations. All changes in blood pH, in health and in disease, occur through changes in these three variables.

What lab values indicate metabolic acidosis?

Metabolic acidosis is present when the blood bicarbonate concentration is decreased (<24 meq/L).

client diagnosed metabolic acidosis assessment finding nurse expect Acid-base balance Quizlet

zusammenhängende Posts

When caring for a client with hypomagnesemia, the nurse prioritizes assessment of which body system?
When caring for a client with hypomagnesemia, the nurse prioritizes assessment of which body system?

Which client situation requires the nurse to discuss the importance of avoiding foods high in potassium quizlet?
Which client situation requires the nurse to discuss the importance of avoiding foods high in potassium quizlet?

Which potential danger would the nurse assess in a client who has experienced a near drowning?
Which potential danger would the nurse assess in a client who has experienced a near drowning?

A nurse is teaching a client who is recovering from pancreatitis about following a low fat diet
A nurse is teaching a client who is recovering from pancreatitis about following a low fat diet

Which findings would the nurse expect when assessing a client with peripheral arterial disease
Which findings would the nurse expect when assessing a client with peripheral arterial disease

What action should the nurse implement when accessing an implanted infusion port for a client who receives long term IV medications?
What action should the nurse implement when accessing an implanted infusion port for a client who receives long term IV medications?

The nurse observes an inward turning of the lower lid in a 77-year-old client. the nurse documents
The nurse observes an inward turning of the lower lid in a 77-year-old client. the nurse documents

A client has insomnia What is not appropriate client education for a client experiencing insomnia
A client has insomnia What is not appropriate client education for a client experiencing insomnia

Which medication does the nurse anticipate the health care provider will prescribe for a client who is beginning treatment for obsessive compulsive disorder OCD )?
Which medication does the nurse anticipate the health care provider will prescribe for a client who is beginning treatment for obsessive compulsive disorder OCD )?

Which diet choices by a client who has heart failure indicate that the nurse is teaching about diet has been effective?
Which diet choices by a client who has heart failure indicate that the nurse is teaching about diet has been effective?

Werbung

NEUESTEN NACHRICHTEN

Borderline wer ist schuld
1 Jahrs vor . durch LunarLine-up
Wer hat mich auf Instagram blockiert
1 Jahrs vor . durch IncipientHeader
Wie geht es dir was soll ich antworten?
1 Jahrs vor . durch SolubleAuthority
Kind 1 Jahr wie oft Fleisch
1 Jahrs vor . durch ThirstyRepublic
Was müssen Sie bei der Beladung von Fahrzeugen zu beachten?
1 Jahrs vor . durch WaxedHeadquarters
Schütz Die Himmel erzählen die Ehre Gottes
1 Jahrs vor . durch ExtrinsicSaucer
In planning an IS audit, the MOST critical step is the identification of the
1 Jahrs vor . durch SteepPanther
Wie lange darf eine Kaution einbehalten werden?
1 Jahrs vor . durch SeasonalBanjo
Sarah connor nicht bei voice of germany
1 Jahrs vor . durch FloridIceberg
Kann man mit dem Fachabitur Jura studieren?
1 Jahrs vor . durch PolarIndecency

Werbung

Populer

Werbung

Um

Legal

Hilfe

Sozial

homeendefrjpkoptzhhiitthtr
Urheberrechte © © 2024 ketiadaan Inc.