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","B","C","E","F"]
Explanation
A. Measuring the child's height and weight is essential to ensure appropriate dosing of medications and to assess the child's growth and development.
B. Documenting lying, sitting, and standing blood pressures can help detect orthostatic hypotension, which may be a concern during or after the procedure.
C. Locating and marking the pedal pulses is important for assessing the vascular status of the lower extremities, especially since the catheterization involves accessing a blood vessel.
D. Performing a mini mental exam on the child is not typically part of the pre-cardiac catheterization assessment for a 3-year-old.
E. Obtaining a history of allergic reactions is crucial to prevent any potential allergic response to medications or materials used during the catheterization.
F. Determining when the child last ate is necessary because the child will need to fast for a certain period before the procedure to reduce the risk of aspiration.
Correct Answer is ["B","C"]
Explanation
A. Urinalysis: While urinalysis can provide information about urinary tract infections, it is not directly related to monitoring the effectiveness of antibiotic treatment for a respiratory tract
infection.
B. White blood cell (WBC count: Monitoring WBC count can help assess the body's response to infection. A decrease in WBC count can indicate improvement in the infection.
C. Sputum culture and sensitivity: Monitoring sputum culture and sensitivity helps determine if the antibiotic is targeting the specific pathogen causing the respiratory tract infection and if the chosen antibiotic is effective against it.
D. Serum potassium: Monitoring serum potassium levels is important with certain antibiotics,
but it is not directly related to evaluating the effectiveness of antibiotic treatment for a respiratory tract infection.
E. Red blood cell (RBC count: RBC count is not typically monitored to evaluate the effectiveness of antibiotic treatment for a respiratory tract infection.
F. Blood urea nitrogen (BUN): BUN levels are not directly related to assessing the effectiveness of antibiotic treatment for a respiratory tract infection.
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