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. Mild sedation is a common side effect of ramelteon and typically does not require immediate medical attention. It may improve with continued use as the body adjusts to the medication.
B. Somnambulism (sleepwalking) is a less common but potentially serious side effect of ramelteon. It can pose safety risks to the client, and the healthcare provider should be notified promptly to assess the severity and determine if the medication needs to be adjusted or
discontinued.
C. A change in the sleep-wake cycle is a common intended effect of ramelteon as it helps regulate sleep patterns. However, if the change is extreme or disruptive, it may warrant further evaluation by the healthcare provider.
D. Dizziness reported after the initial dose is a common side effect of ramelteon and usually
diminishes with continued use. It may not require immediate medical attention unless it persists or worsens.
Correct Answer is D
Explanation
A. While fluid restriction may be necessary for some clients with heart failure, a general fluid
intake limit of 1,500 mL daily may not be appropriate for all clients. Fluid restriction should be individualized based on the client's clinical status and recommended by the healthcare provider.
B. While a balanced diet, including adequate protein intake, is important for overall health, there is no specific evidence to suggest that a high protein diet is necessary for clients with heart
failure. Dietary recommendations should be individualized based on the client's nutritional needs and medical condition.
C. Range of motion exercises may be beneficial for maintaining joint mobility, but they are not specifically related to managing heart failure symptoms or preventing exacerbations.
D. Weighing every morning is an important self-monitoring strategy for clients with heart failure to assess for fluid retention. Sudden weight gain may indicate fluid accumulation, which can be an early sign of worsening heart failure. Daily weight monitoring allows for early intervention and adjustment of treatment as needed.
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