A patient's assessment data present as follows: pH, 7.10; PaCO2, 60 mm Hg; PaO2, 40 mm Hg; HCO3, 24 mEq/L; RR, 34 breaths/min; HR, 128 beats/min; and BP, 180/92 mm Hg.
This condition is best described as
a. uncompensated respiratory acidosis.
b. uncompensated metabolic acidosis.
c. compensated metabolic acidosis.
d. compensated respiratory acidosis.
Question 2Which of the following criteria are representative of the patient in normal sinus rhythm?
a. Heart rate, 64 beats/min; rhythm regular; PR interval, 0.10 second; QRS, 0.04 second
b. Heart rate, 88 beats/min; rhythm regular; PR interval, 0.18 second; QRS, 0.06 second
c. Heart rate, 54 beats/min; rhythm regular; PR interval, 0.16 second; QRS, 0.08 second
d. Heart rate, 92 beats/min; rhythm irregular; PR interval, 0.16 second; QRS, 0.04 second
Question 3Why would the nurse perform an inspection of the oral cavity during a complete pulmonary assessment?
a. To provide evidence of hypoxia
b. To provide evidence of dyspnea
c. To provide evidence of dehydration
d. To provide evidence of nutritional status
Question 4On admission, a patient presents as follows: pH, 7.38; respiratory rate, 24 breaths/min, regular, pursed-lip breathing; PaO2, 66 mm Hg; heart rate, 112 beats/min, sinus tachycardia;
PaCO2, 52 mm Hg; blood pressure, 110/68 mm Hg; HCO3, 34 mEq/L; and SpO2, 90 on O2 2 L/min nasal cannula. These gases show
a. uncompensated metabolic alkalosis.
b. uncompensated respiratory acidosis.
c. compensated respiratory acidosis.
d. compensated respiratory alkalosis.
Question 5Which of the following conditions will commonly reveal breath sounds with inspiration greater than expiration on assessment?
1. Normal lung
2. Bronchiectasis
3. Emphysema
4. Acute bronchitis
5. Diffuse pulmonary fibrosis
6. Consolidating pneumonia
a. 1, 2, 5
b. 3, 5, 6
c. 2, 3, 4
d. 1, 2, 4