Option D - Respiratory Alkalosis is correct.
This client is experiencing alveolar hyperventilation which implies that the client is expelling more CO2. In respiratory alkalosis, PaC02 is always less than 35mm HG.
In metabolic acidosis, HCO3 - (bicarbonate) is always less than 22. Commonly seen in renal failure.
In respiratory acidosis, there is alveolar hyperventilation and there is retention of C02 in which makes the value of PaCO2 levels high (above 40 mm Hg) in respiratory acidosis. This is common in obstructive lung disorders.
In metabolic alkalosis, bicarbonate is usually more than 26.
Therefore, only option D fix into the values mentioned in the question above.
Respiratory alkalosis-rationale: respiratory alkalosis results from alveolar hyperventilation. its marked by a decrease in paco2 to less than 35 mm hg and an increase in blood ph over 7.45. metabolic acidosis is marked by a decrease in hco3 to less than 22 meq/l, and a decrease in blood ph to less than 7.35. in respiratory acidosis, the ph is less than 7.35 and the paco2 is greater than 45 mm hg. in metabolic alkalosis, the hco3 is greater than 26 meq/l and the ph is greater than 7.45.client needs category: physiological integrityclient needs subcategory: physiological adaptationcognitive level: applicationreference: smeltzer, s.c., et al. brunner & suddarths textbook of medical-surgical nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 338.
