ATI Medsurg Proctored Final Exam -Nurselytic

Questions 152

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ATI Medsurg Proctored Final Exam Questions

Extract:


Question 1 of 5

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

Correct Answer: A

Rationale: The correct answer is A (pH 7.25, HCO3- 19 mEq/L, PaCO2 30 mm Hg). In chronic kidney disease, the kidneys are unable to excrete acid effectively, leading to metabolic acidosis. The pH is low (acidotic) due to the accumulation of acids. The bicarbonate (HCO3-) is low (19 mEq/L) as the kidneys are unable to reabsorb and regenerate bicarbonate effectively. The PaCO2 is low (30 mm Hg) as the respiratory system compensates by increasing the respiratory rate to blow off carbon dioxide in an attempt to normalize the pH.

Choices B, C, and D have pH values within normal range and do not reflect the expected acidosis in chronic kidney disease.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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