💊 NCLEX-RN Exam Prep

A nurse is caring for a patient experiencing an acute exacerbation of chronic obstructive pulmonary disease (COPD). Which arterial blood gas (ABG) finding would be most indicative of this condition?

A pH 7.48, PaCO2 30 mmHg, HCO3 24 mEq/L
B pH 7.30, PaCO2 55 mmHg, HCO3 30 mEq/L
C pH 7.20, PaCO2 35 mmHg, HCO3 18 mEq/L
D pH 7.45, PaCO2 40 mmHg, HCO3 28 mEq/L

✓ Correct Answer: Option B

An acute exacerbation of COPD typically presents as respiratory acidosis (low pH, high PaCO2) with some metabolic compensation (high HCO3) if the condition is chronic. Option B shows partially compensated respiratory acidosis.

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