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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From Exam
Medical surgical Nursing exam (Viterbo University)
58 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4