Adult health quiz part 2
Adult Health Quiz: Part 2
Test your knowledge on adult health issues with this engaging 10-question quiz focused on acid-base imbalances and respiratory conditions. Ideal for nurses and healthcare professionals, this quiz covers key concepts and clinical scenarios that are essential for patient care.
Topics covered include:
- Acid-base imbalances
- Respiratory conditions
- Diagnostic parameters
- Patient care strategies
The nurse is caring for a client with multiple organ failure and in metabolic acidosis. Which pair of organs is responsible for regulatory processes and compensation? Select all that apply.
Heart
Kidneys
Lungs
LIver
Pancreas
A client has a respiratory rate of 40 breaths/min. What effect does this respiratory rate have on the arterial pH level?
Increase in pH
Decrease in pH
Better regulation of pH
No change in pH
The nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD) and experiencing respiratory acidosis. The client asks what is making the acidotic state. The nurse is most correct to identify which result of the disease process that causes the fall in pH?
The lungs have ineffective cilia from years of smoking.
The lungs are not able to blow off carbon dioxide.
The lungs are unable to breathe in sufficient C02.
The lungs are unable to breathe in sufficient oxygen.
The nurse is caring for a client with severe diarrhea. The nurse recognizes that the client is at risk for developing which acid-base imbalance?
Metabolic alkalosis
Respiratory alkalosis
Metabolic acidosis
Respiratory acidosis
A newly graduated nurse is admitting a client with a long history of emphysema. The nurse learns that the client’s PaCO2 has been between 56 and 64 mm Hg for several months. Why should the nurse be cautious administering oxygen?
Oxygen will increase the client's intracranial pressure and create confusion.
Oxygen may cause the client to hyperventilate and become acidotic.
Using oxygen may result in the client developing carbon dioxide narcosis and hypoxemia.
The client's calcium will rise dramatically due to pituitary stimulation.
Which arterial blood gas (ABG) result would the nurse anticipate for a client with a 3-day history of vomiting?
pH: 7.45, PaCO2: 32 mm Hg, HCO3–: 21
pH: 7.28, PaCO2: 25 mm Hg, HCO3: 15
pH: 7.34, PaCO2: 60 mm Hg, HCO3: 34
pH: 7.55, PaCO2: 59 mm Hg, HCO3–: 29
The nurse is caring for a geriatric client in the home setting. Due to geriatric changes decreasing thirst, the nurse is likely to see a decrease in which fluid location which contains the most body water?
Intracellular fluid
Interstitial fluid
Intravascular
Extracellular fluid
Which medication does the nurse anticipate administering to antagonize the effects of potassium on the heart for a patient in severe metabolic acidosis?
Calcium gluconate
magnesium sulfate
Furosemide
sodium bicarbonate
Which condition leads to chronic respiratory acidosis in older adults?
Erratic meal patterns
Decreased renal function
Overuse of sodium bicarbonate
Thoracic skeletal change
A nurse caring for a patient with metabolic alkalosis knows to assess for the primary, compensatory mechanism of:
Decreased PaCO2.
Increased serum HCO3.
Increased PaCO2.
Decreased serum HCO3.
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