A 43-Year-Old Man Is Brought to the Emergency Department After

question 151

Multiple Choice

A 43-year-old man is brought to the emergency department after being found unresponsive by his wife.  She says he was in his usual state of health when she left home a few hours ago.  The patient has a history of depression and type 2 diabetes mellitus.  He was recently laid off from work.  Blood pressure is 100/60 mm Hg and pulse is 64/min.  On physical examination, the patient is responsive to deep sternal rub and has mildly dry mucous membranes.  Arterial blood gas analysis reveals the following: Which of the following is the most likely current acid-base status in this patient?

• A)Metabolic acidosis with respiratory compensation
• B)Metabolic alkalosis with respiratory compensation
• C)Respiratory acidosis with renal compensation
• D)Respiratory alkalosis with renal compensation
• E)Uncompensated metabolic acidosis
• F)Uncompensated respiratory acidosis

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Definitions:

Relatedness

In psychology, the need to engage in warm relations with others, considered a fundamental aspect of human motivation that influences behavior and mental health.

Autonomy

The capacity to make an informed, uncoerced decision independently.

Competence

The ability to do something successfully or efficiently, often linked to skills and knowledge in a specific area.

Approach-Avoidance Motivation

A psychological concept that describes the conflict involved when a person is faced with a choice or goal that has both attractive and unattractive aspects.