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 B
Explanation
A. Ask the client to take short, rapid breaths: This can increase respiratory rate and may exacerbate the client's shortness of breath.
B. Instruct the client in pursed lip breathing: Pursed lip breathing can help improve gas exchange and reduce dyspnea by slowing down the client's respiratory rate and increasing oxygenation.
C. Increase oxygen to three L/minute: Increasing oxygen without assessing the client's oxygen saturation may lead to oxygen toxicity and is not indicated without further assessment.
D. Have the client breathe into a paper bag: This intervention is not appropriate for a client with chronic obstructive lung disease experiencing shortness of breath. It is typically used for clients experiencing hyperventilation.
Correct Answer is D
Explanation
A. Have you experienced ankle edema and varicose veins?: While these are symptoms of venous insufficiency, they are not specific to peripheral arterial disease (PAD.
B. Did you receive treatment for weeping ulcers on lower legs?: Weeping ulcers are more commonly associated with chronic venous insufficiency rather than PAD.
C. Were your legs ever suddenly swollen, red, warm, and painful?: These symptoms are suggestive of acute conditions like deep vein thrombosis (DVT) rather than chronic arterial symptoms like intermittent claudication.
D. Does the calf pain occur when walking short distances?: Intermittent claudication, or calf pain that occurs with activity and resolves with rest, is a classic symptom of PAD. Asking about pain during walking helps assess for this symptom.
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