Exhibits
The nurse Interprets the repeat blood gas.
Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided.
The blood gas results indicate that the client has
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B","dropdown-group-3":"A"}
- The initial blood gas results show a pH of 7.21, which is below the normal range, indicating acidosis.
- The PaCO2 is elevated at 58 mmHg, suggesting that the acidosis is respiratory in nature, as CO2 is a respiratory acid.
- The HCO3 level is within the normal range, which typically would not suggest a primary metabolic problem.
- The repeat blood gas shows an improvement in pH to 7.37, which is within the normal range, indicating that the condition is being compensated.
- The PaCO2 has decreased to 52 mmHg, which is still above normal but shows improvement, further supporting the compensation.
- Given these changes, the most likely interpretation of the blood gas results is that the client has "compensated respiratory acidosis."
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Informing the client that gradual tapering must be used to discontinue the medication is crucial because abruptly stopping antidepressants can lead to withdrawal symptoms or the return of depressive symptoms. This response acknowledges the client’s concerns and provides a safe approach to discontinuation.
B. While side effects may diminish over time for some individuals, this response does not address the client's concerns or provide guidance on how to manage the side effects.
C. Reminding the client that feeling better is the therapeutic effect of the medication does not address the client's concerns about side effects or desire to discontinue the medication.
D. While discussing side effects with the healthcare provider is important, it does not address the need for a safe discontinuation process, which is why gradual tapering should be emphasized first.
Correct Answer is C
Explanation
- A) Magnesium level: While magnesium levels can affect cardiac and neuromuscular function, they are not the most critical assessment before potassium infusion. Hypomagnesemia may accompany hypokalemia, but the priority is ensuring renal function to avoid hyperkalemia.
- B) Size of the IV catheter: The size of the IV catheter is important for determining the flow rate of the infusion, but it is not the most critical assessment. The catheter size does not directly impact the safety of potassium administration.
- C)
Potassium chloride administration can cause hyperkalemia if the kidneys are not excreting potassium effectively. Ensuring adequate urinary output before infusion indicates the kidneys are functioning sufficiently to handle the potassium load, making this the most critical assessment.
- D) Serum glucose level:
Although glucose levels are monitored closely in DKA, they are not the primary concern before administering potassium chloride. The priority here is ensuring the kidneys can excrete potassium effectively, as hyperkalemia can be life-threatening.
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