You are caring for a patient with chronic obstructive pulmonary disease (COPD). This patient would be most likely to develop which acid-base imbalance?
  1. Respiratory acidosis
  2. Respiratory alkalosis
  3. Metabolic acidosis
  4. Metabolic alkalosis
Explanation
Answer: A - A patient with COPD would be more likely to develop respiratory acidosis. Hypoventilation by the patient leads to respiratory acidosis. End-stage disease leads to airway collapse, air trapping and disturbance of ventilation-perfusion relationships.
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