Author Question: A child with croup has an increased PaCO2, a decreased pH, and a normal H2CO3 blood-gas value. The ... (Read 53 times)

mikaylakyoung · **on:** Jul 22, 2018

A child with croup has an increased PaCO2, a decreased pH, and a normal H2CO3 blood-gas value. The nurse interprets this as uncompensated:

1. Respiratory acidosis.
2. Respiratory alkalosis.
3. Metabolic acidosis.
4. Metabolic alkalosis.

Question 2

Your client is a 35-year-old woman with multiple sclerosis. She is unable to voluntarily move any part of her body except for her thumb. She is fed by a G-tube. Her nursing diagnosis would include:

1. Risk for activity intolerance.
2. Impaired physical tolerance.
3. Activity intolerance.
4. Impaired physical mobility.

chjcharjto14 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. Respiratory acidosis.

Rationale:
If the pH is decreased and the PaCO2 is increased with a normal H2CO3, it is uncompensated respiratory acidosis. In addition, croup can be a disease process that causes respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH, decreased PaCO2, and normal H2CO3. Uncompensated metabolic acidosis has a decreased pH, normal PaCO2, and normal H2CO3. Uncompensated metabolic alkalosis has an increased pH, normal PaCO2, and increased H2CO3.

Answer to Question 2

ANS: 4