A new nurse graduate is caring for a postoperative client with the following arterial blood gases (ABGs): pH, 7.30; PCO2, 60 mm Hg; PO2, 80 mm Hg; bicarbonate, 24 mEq/L; and O2 saturation, 96%. Which of these actions by the new graduate is indicated?
A. Encourage the client to use the incentive spirometer and to cough.
B. Administer oxygen by nasal cannula.
C. Request a prescription for sodium bicarbonate from the health care provider.
D. Inform the charge nurse that no changes in therapy are needed.
Ans: A. Encourage the client to use the incentive spirometer and to cough.
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