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Practice Question

The nurse is caring for a patient with end-stage kidney disease (ESKD). Which arterial blood gas results (ABG) will the nurse correlate with the patient's condition?

Answer Choices:

Correct Answer:

pH 7.21, PaCO2 36, HCO3 14

Rationale:

🎗️ESKD reduces acid excretion and bicarbonate regeneration, producing metabolic acidosis.

🎗️ Profile shows low pH with low HCO₃⁻ and near‑normal PaCO₂ (little/early respiratory compensation).

🎗️ Choices B/C are alkaloses; D suggests respiratory acidosis—not the typical ESKD pattern.

🎗️ Chronic kidney disease often shows anion gap acidosis from retained acids (e.g., sulfates, phosphates).

🎗️ Treatment: dialysis, bicarbonate, and addressing CKD‑MBD contributors.

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This question is from Medical surgical Nursing exam (Viterbo University) which contains 58 questions.

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Answer Choices:

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Answer Choices:

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Answer Choices:

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Answer Choices:

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From Exam
Medical surgical Nursing exam (Viterbo University)

58 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: General Exams
  • Domain: Medical-surgical📚
  • Answer Choices: 4
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