1-year-old child has the following arterial blood gas values ...

[a0266361136]

1-year-old child has the following arterial blood gas values (ABGs): pH: 7.28, PCO2: 58 mm Hg, PO2: 77 mm Hg, HCO3: 14 mEq/L, O2 saturation: 88. Which interpretation of the results by the nurse is the most accurate?
 
  A.
  Metabolic acidosis
  B.
  Metabolic alkalosis
  C.
  Respiratory acidosis
  D.
  Respiratory alkalosis

Question 2

A nurse is assessing a 10-year-old child with asthma. The child and parents report daily symptoms, but the child only wakes up coughing once or twice a week, uses an albuterol (Ventolin) inhaler daily,
 
  and is occasionally prevented from participating in physical activity by symptoms. What asthma severity classification does the nurse assign to the child?
  A.
  Intermittent
  B.
  Mild persistent
  C.
  Moderate persistent
  D.
  Severe persistent

[irishcancer18]

Answer to Question 1

ANS: C
The low pH indicates acidosis; the high CO2 level indicates respiratory involvement. The child is also hypoxemic.

Answer to Question 2

ANS: C
The child's symptoms place him or her in the moderate persistent category.