A nurse assesses a client with diabetes mellitus who is admitted with an acidbase imbalance. The clients arterial blood gas values are pH 7.36, PaO2 98
mm Hg, PaCO2 33 mm Hg, and HCO3 18 mEq/L. Which manifestation should
the nurse identify as an example of the clients compensation mechanism?
...
✓ Progressive skeletal muscle weakness is associated with increasing
severity of acidosis. Muscle weakness can lead to severe respiratory
insufficiency. Acidosis does lead to dysrhythmias (due to
hyperkalemia), but these would best be assessed with cardiac
monitoring. Findings should be documented, but simply continuing to
monitor is not sufficient. Before notifying the physician, the nurse must
have more data to report
A nurse is caring for a client who has the following arterial blood values: pH
7.12, PaO2 56 mm Hg, PaCO2 65 mm Hg, and HCO3 22 mEq/L. Which clinical
situation should the nurse correlate with these values?
a. Diabetic ketoacidosis in a person with emphysema
b. Bronchial obstruction related to aspiration of a hot dog
c. Anxiety-induced hyperventilation in an adolescent
d. Diarrhea for 36 hours in an older, frail woman
Master01 |Excellent Study Material| Latest update
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