1.Mr. W. is a 90-year-old man who had a
successful cardiopulmonary resuscitation a few
hours ago. He received bicarbonate during
that resuscitation.
ABGs: pH 7.55; PaCO 2 43; HCO 3 36
a.Respiratory acidosis
b.Metabolic acidosis
c.Metabolic alkalosis
d.Respiratory alkalosis
2.Mr. F. is a 56-year-old man with a history of
COPD.
ABGs: pH 7.36; PaCO 2 60; HCO 3 35
a.Respiratory acidosis with renal compensation
b.Metabolic acidosis with partial respiratory
compensation
c.Respiratory alkalosis
d.Respiratory acidosis
3.A 55-year-old woman is admitted with chronic
renal failure. She is weak and tired.
ABGs: pH 7.24; PaCO 2 30; HCO 3 12
a.Respiratory acidosis
b.Respiratory alkalosis
c.Metabolic alkalosis with partial respiratory
compensationd.Metabolic acidosis with partial respiratory
compensation
4.Mrs. S. is a 55-year-old woman with heart fail-
ure and dyspnea. She complains of pleuritic
pain.
ABGs: pH 7.56; PaCO 2 22; HCO 3 24
a.Respiratory alkalosis
b.Respiratory acidosis
c.Metabolic acidosis
d.Metabolic alkalosis
5.Ms. S. is a 21-year-old woman who was found
by her friends on the floor of her room. She is
“out of it.”
ABGs: pH 7.18; PaCO 2 79; HCO 3 26
a.Respiratory alkalosis
b.Respiratory acidosis
c.Metabolic alkalosis with partial respiratory
compensation
d.Metabolic acidosis with partial respiratory
compensation
6.Indicate on the chart below the nature of the
acid–base disturbance, whether compensation
is present or not, and if present, whether com-
pensation is renal or respiratory, and partial or
complete.276 UNIT VII PROMOTING HEALTHY PHYSIOLOGIC RESPONSES
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:Comp. Present?If Yes If YespH PaCO 2 HCO 3 Nature of Disturbance Yes No
7.28 63 25
7.20 40 14
7.52 40 35
7.16 82 30
7.36 68 35
7.56 23 26
7.40 40 26
7.56 23 26
7.26 70 25
7.52 44 38
7.32 30 18
7.49 34 26Renal RespiratoryPartial CompleteLWBK696-C40_p272-282.qxd 9/3/10 12:35 PM Page 276 Aptara Inc