Acid-Base Balance Disorders · NCLEX Exam

Which statement correctly describes the 'ROME' mnemonic for ABG interpretation?

  1. a. Respiratory Opposite, Metabolic Equal – meaning PaCO₂ moves opposite pH, HCO₃ moves same direction as pH
  2. b. Respiratory Opposite, Metabolic Equal – meaning both PaCO₂ and HCO₃ move opposite to pH
  3. c. Respiratory Opposite, Metabolic Equal – meaning both move in same direction as pH
  4. d. Respiratory Opposite, Metabolic Equal – meaning only HCO₃ changes in respiratory disorders
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Correct answer: a. Respiratory Opposite, Metabolic Equal – meaning PaCO₂ moves opposite pH, HCO₃ moves same direction as pH

The 'ROME' method relates how PaCO₂ moves opposite to pH in respiratory disorders while HCO₃⁻ moves in the same direction as pH in metabolic disorders.

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