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Chapter 18: Acid-Base Imbalance

Monahan Phipps Medical Surgical 8th Edition By Monahan

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Chapter 18: Acid-Base Imbalance

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1.    Anion gap is useful in identifying types of:
1. Respiratory acidosis
2. Respiratory alkalosis
3. Metabolic acidosis
4. Metabolic alkalosis

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Acid-base

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1.    Admission assessment for a patient indicates BP 140/88, P 92, R 18, and T 100.1° F. The patient is restless and complains of abdominal pain. After drawing arterial blood for analysis of ABGs, it is essential that the nurse convey to the lab the patient’s:
1. Age
2. Pulse rate
3. Temperature
4. Blood pressure

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Acid-base

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1.    When a patient’s serum pH is lower than 7.35, the nurse understands that:
1. The ratio of base ions to acid ions is 20:1
2. There is an excess of base ions
3. There is an excess of hydrogen ions
4. The pH is within normal range

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Acid-base

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1.    A nurse checks a patient’s arterial gases and notes that the PaCO2 is 39 mm Hg and the HCO3 is 25 mEq/L. The nurse concludes that:
1. The ratio of carbonic acid to bicarbonate is abnormal
2. The patient is breathing fast and deep
3. All buffer systems are stable
4. The pH should be elevated

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Acid-base

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Physiological Integrity

 

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