Author Question: A nursing student is caring for a patient with metabolic acidosis. The student asks the registered ... (Read 45 times)

lidoalex · **on:** Jul 23, 2018

A nursing student is caring for a patient with metabolic acidosis. The student asks the registered nurse why the patient's respiratory rate is so high. What response by the nurse is best?

a. The patient's metabolic rate is increased from being ill.
b. The lungs are trying to rid the body of extra carbon dioxide.
c. The patient is trying to reduce his temperature through panting.
d. Patients who are acutely ill often have abnormal vital signs.

Question 2

The nurse receives a handoff report on four patients. Which patient should the nurse assess first?

a. Pain rating 4/10 after pain medication
b. Blood pressure 102/62 mm Hg
c. Pulse 42 beats/min
d. Respiratory rate 18 breaths/min

hollysheppard095 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
The body tries to compensate for excess carbon dioxide (seen in acidosis) by increasing the rate and depth of respirations to blow off the carbon dioxide.

Answer to Question 2

ANS: C
A pulse of 42 beats/min is considered bradycardia and the patient should be assessed first because perfusion could be compromised. The pain rating is not extreme and should be considered in light of the patient's pain goals. The blood pressure and respiratory rate are normal.