Author Question: The nurse is reviewing the latest arterial blood gas results for a client with metabolic alkalosis. ... (Read 82 times)

MirandaLo · **on:** Jun 25, 2018

The nurse is reviewing the latest arterial blood gas results for a client with metabolic alkalosis. Which result indicates that the metabolic alkalosis is compensated?

A) pH 7.32
B) PaCO2 18 mmHg
C) HCO3 8 mEq/L
D) PaCO2 48 mmHg

Question 2

A nurse is caring for a client who is diagnosed with skin cancer. Which nursing interventions will reduce the growth of cancer cells and support normal cell function?

Select all that apply.
A) Encouraging mobility and exercise
B) Encouraging increased rest and sleep
C) Assessing normal functioning of organ systems
D) Reducing oxygen supply to retard growth of cancer cells
E) Increasing calorie intake

31809pancho · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: D

A normal pH level is 7.35-7.45. A pH of less than 7.35 is acidosis. A PaCO2 level of 18 mmHg is low and is seen in respiratory alkalosis. A HCO3 level of 8 mEq/L is low and is most likely associated with metabolic acidosis. In metabolic alkalosis, there is an excess of bicarbonate. To compensate for this imbalance, the rate and depth of respirations decrease, leading to retention of carbon dioxide. The PaCO2 will be elevated.

Answer to Question 2

Answer: B, C, E

Cancer cells grow faster than normal cells, so they use more nutrients for growth, resulting in wasting, which can only be counteracted by increasing the caloric intake of the client. Increased rest and sleep give the client's body more energy to fight the cancer cells. Because cancer cells can grow in any area of the body, it is important for the nurse to assess normal functioning of all organ systems. Decreasing oxygen supply will retard cancer cell growth but it will also retard normal cell health. While clients should not be inactive, they should be taught to reduce activity to reduce weight loss and provide more energy to the healthy cells.