A client presents to the emergency department complaining of sudden onset of increased weakness and tingling of the lower extremities that has progressed to the upper arms. The client is diagnosed with Guillain-Barre
The client's respiratory rate is 8; blood pressure is 86/48. The client is being prepared for intubation. What would the nurse anticipate the blood gases to be? 1. High PaCO2
2. Low PaCO2
3. High HCO3
4. High pH
High PaCO2
Rationale: The nurse would anticipate the client with progressing Guillain-Barre to have hypoventilation, which results in high PaCO2 levels. The respiratory rate of 8 also would indicate hypoventilation. The nurse would also anticipate the pH to be low (acidic), not high, since a high level of CO2 will increase the acidity of the blood. A low PaCO2 results with tachypnea, which this client does not have. A low PaCO2, high HCO3, and high pH are all alkolotic states.
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