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","E"]
Explanation
A. Blood urea nitrogen (BUN) is not typically monitored to evaluate the effectiveness of antibiotics in treating respiratory tract infections. It is more commonly monitored to assess renal function and hydration status.
B. White blood cell (WBC count is monitored to evaluate the body's response to infection and the effectiveness of antibiotic therapy. A decrease in the WBC count can indicate resolution of the infection.
C. Red blood cell (RBC count is not directly related to the evaluation of antibiotic effectiveness in treating respiratory tract infections.
D. Urinalysis is not typically monitored to evaluate the effectiveness of antibiotics in treating respiratory tract infections unless there are specific indications of urinary tract involvement.
E. Sputum culture and sensitivity testing is important to identify the causative organism of the respiratory tract infection and determine its susceptibility to antibiotics. Monitoring the results of sputum culture and sensitivity helps ensure appropriate antibiotic selection.
F. Serum potassium levels may be monitored for clients receiving certain antibiotics, such as some types of penicillins or fluoroquinolones, due to the potential for electrolyte disturbances.
However, it is not a direct measure of antibiotic effectiveness in treating respiratory tract infections.
Correct Answer is A
Explanation
A. Pulling the pinnae up and back helps straighten the ear canal in adults, allowing easier administration of the ear drops and better penetration into the ear canal. This technique is appropriate for adults.
B. Administering the drops with the head held upright may be necessary for some ear drop medications, but it is not the most appropriate technique for all types of ear drops.
C. Cooling and shaking the bottle before administering the drops may be necessary for certain types of medications but is not universally recommended for all ear drop preparations.
D. Inserting the tip of the dropper into the canal of the ear is appropriate for administering ear drops, but it should be accompanied by the correct technique of pulling the pinnae up and back to straighten the ear canal in adults.
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