An arterial blood gas sample shows pH 7.36, PaCO2 50 mmHg and HCO3 28 mEq/L. How should the nurse interpret these results?

Correct answer: C. Compensated respiratory acidosis

  • A. Uncompensated respiratory alkalosis
  • B. Partially compensated metabolic acidosis
  • C. Compensated respiratory acidosis
  • D. Uncompensated metabolic alkalosis

Explanation

The raised PaCO2 indicates respiratory acidosis, while the raised bicarbonate shows renal compensation. The pH has returned to the normal range, so the respiratory acidosis is compensated rather than uncompensated.

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Covers nursing assessment and management of asthma, chronic obstructive pulmonary disease, pneumonia, tuberculosis, pleural disorders and respiratory failure. Key areas include breath sounds, oxygen therapy, airway suctioning, inhaled medicines, arterial blood gases and the difference between hypoxia, hypoxemia and carbon dioxide retention.

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