Acid-Base Balance Disorders · NCLEX Exam

A patient with chronic COPD and ABG results of pH 7.36, PaCO₂ 52 mmHg, HCO₃⁻ 29 mEq/L likely has which condition?

  1. Encourage strict fluid restriction
  2. Watch for signs of hypocalcemia
  3. Increase tidal volume on ventilation
  4. Promote rapid, shallow breathing
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Correct answer: Watch for signs of hypocalcemia

The pH is near normal but PaCO₂ is elevated, and HCO₃⁻ is elevated indicating chronic respiratory acidosis with renal compensation.

Difficulty: Medium Question 11 of 25

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