NURS 4110 ATI MED SURG SURG TEST 2 GUIDE QUESTIONS & ANSWERS

ATI MED SURG SURG TEST 2 GUIDE Questions & Answers 1. The physician orders the following mechanical ventilation settings for a client. The client's spontaneous respiratory rate is 22 breaths/min. What arterial blood gas abnormality may occur if the client continues to be tachypneic at these ventilator settings? - Respiratory Alkalosis  hyperventilating 2. A client with persistent vomiting of 3 days duration is seen at the urgent care center because of increasing weakness. IV therapy with Ringer's solution is started, and an arterial blood gas (ABG) analysis is ordered. Results of the ABGs that would be expected include: Choice the - Metabolic Alkalosis pH 7.48; PCO2 40, HCO3 30mEqL 3. A client is admitted to the progressive care unit with a diagnosis of pneumonia. The client has a history of obstructive pulmonary disease and diabetes. A set of arterial blood gases is obtained on admission: room air pH is 7.35; PaCo2 is 55 mm Hg; bicarbonate is 30 mEq/L; PaO2 is 65 mm Hg. These levels reflect hypoxemia: - Compensated Respiratory Acidosis 4. A client is admitted with a diagnosis of acute respiratory distress syndrome (ARDS). Which of the following arterial blood gas results indicates acute respiratory failure? - pH 7.20, HCO3 23, PO2 40, PCO2 58 5. A post-operative client is being mechanically ventilated in the synchronized intermittent mandatory ventilation (SIMV) mode at a rate of 4 breaths/min. His spontaneous respirations are 12 breaths/min. He receives a dose of morphine sulfate, and his respirations decrease to 4 breaths/min. Which acid-base disturbance is this client at risk for? - Hypoventilation Respiratory Acidosis