An 8-year-old is admitted to the pediatric unit with pneumonia. On assessment, the nurse notes that ...

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These assessment findings (i.e., warm and flushed skin, lethargy, and medical diagnosis of pneumonia) are indicative of respiratory acidosis.
Lethargy and flushed skin may be seen with metabolic acidosis, but this child has a respiratory problem with difficulty breathing, which is consistent with respiratory acidosis.
Respiratory alkalosis also may be caused with hyperventilation as a result of pneumonia, but this child's assessment findings are not consistent with respiratory alkalosis.
The client's diagnosis and assessment findings are not indicative of metabolic alkalosis.