The nurse is admitting a patient with COPD and pneumonia. The ABG findings include: pH 7.31, PaO2 65, PaCO2 75, and HCO3 22. The nurse immediately gives the patient oxygen via a mask. What complication would the nurse anticipate?
1. Respiratory arrest
2. Respiratory acidosis
3. Hyperventilation
4. Nausea and vomiting
Respiratory arrest
Rationale: Respiratory arrest (the opposite of hyperventilation) can be anticipated. The patient with COPD has chronic hypercarbia. As the carbon dioxide levels decrease and the oxygen levels increase with the administration of oxygen, the patient is at high risk for respiratory arrest. Respiratory acidosis is the correct interpretation of the current blood gases, but not a complication. Nausea and vomiting are unrelated to this scenario.
You might also like to view...
A gardener sustained a deep laceration while working and requires sutures. The patient is asked about the date of his last tetanus shot, which he tells the nurse was more than 10 years ago
Based on this information, the patient will receive a tetanus immunization. The tetanus injection will allow for the release of what? A) An antibody B) An antigen C) A bacteria D) A virus
Which psychosocial characteristics will the nurse include when conducting a community assessment? Select all that apply
1) Religion 2) Socioeconomic class 3) Level of education 4) Occupations 5) Demographics
The community health nurse knows that early attempts to understand illness and disease focused on the study of the experiences of individual people. Using this knowledge, how would the nurse define epidemiology to a group of nursing students?
A) An outbreak that occurs when there is an increased incidence of a disease beyond that which is normally found in the population B) Model based on the belief that health status is determined by the interaction of the characteristics of the host, agent, and environment C) Study of the distribution and determinants of states of health and illness in human populations D) Epidemiologic model that strongly emphasizes the concept of multiple causation while de-emphasizing the role of agents in explaining illness
The term "instrument" when used in research refers to:
A) a device used to measure the variables of interest B) an unstructured interview of a group of participants C) a written description of the phenomenon of interest D) none of the above