The client has just returned from OR with respirations of 8 per minute. What set of ABG's would the nurse expect to see?

pH 7.30. PaCO2 38 P02 92, HCO3 15

pH 7.32. PaCO2 56, PO2 84, HCO3 26

pH 7.37. PaCO2:45, PO2 91, HCO3 24

pH 7.48. PaCO2 32, PO2 94. HCO3 22

Answer and Explanation

The Correct Answer is B

A. pH 7.30, PaCO₂ 38, HCO₃ 15: Metabolic acidosis (low HCO₃, normal PaCO₂).

B. pH 7.32, PaCO₂ 56, PO₂ 84, HCO₃ 26: The client has respirations of 8/min, which indicates hypoventilation → CO₂ retention → respiratory acidosis. pH 7.32 indicates acidosis. PaCO₂ 56 mmHg - Elevated CO₂ (hypercapnia), confirming respiratory acidosis. HCO₃ 26- Normal bicarbonate suggests that compensation has not yet occurred

C. pH 7.37, PaCO₂ 45, HCO₃ 24: Normal ABG values.

D. pH 7.48, PaCO₂ 32, HCO₃ 22: Respiratory alkalosis (low PaCO₂ due to hyperventilation, not hypoventilation).

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Correct Answer is ["A","B","D","E","G"]

Explanation

A. Abdomen rigid with decreased bowel sounds: A rigid, tender abdomen suggests peritonitis, a life-threatening complication of peritoneal dialysis requiring immediate intervention.

B. Glucose 220 mg/Dl: Elevated glucose is concerning but not immediately life-threatening compared to the other findings.

C. No dialysis for 24 hours: Missing dialysis leads to toxin accumulation, hyperkalemia, and fluid overload, all of which can be life-threatening.

D. Crackles throughout the lungs: Fluid overload can cause pulmonary edema, leading to respiratory distress. Immediate intervention is needed to prevent respiratory failure.

E. WBC 17,000 mm³: Leukocytosis suggests infection, possibly peritonitis, which requires urgent antibiotic therapy.

F. Hemoglobin 10 g/dL: Mild anemia is expected in CKD and not an emergency.

G. Potassium 7 mEq/L: Severe hyperkalemia is a medical emergency due to the risk of life-threatening cardiac arrhythmias.

H. Creatinine 3 mg/dl: Creatinine is chronically elevated in CKD and not an acute concern.

A. Cardiac arrest B. Falling through the ice C. Head trauma D. Drug use

Correct Answer is A

Explanation

A. Cardiac arrest: Cardiac arrest is a complication of severe hypothermia, not a risk factor.

B. Falling through the ice: Major risk factor for accidental hypothermia due to immersion in cold water.

C. Head trauma: Impaired thermoregulation in the brainstem can cause hypothermia.

D. Drug use: Certain drugs (e.g., alcohol, sedatives) impair the body’s ability to regulate temperature, increasing hypothermia risk.

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The client has just returned from OR with respirations of 8 per minute. What set of ABG's would the nurse expect to see?

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Naxlex Comprehensive Predictor Exams

Exhibits Select the top 5 client findings that require immediate follow-up

Correct Answer is ["A","B","D","E","G"]

Explanation

Which of the following is not a risk factor for accidental hypothermia?

Correct Answer is A

Explanation

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