A patient has these arterial blood gas (ABG) results. In analyzing the data, the nurse recognizes the patient has which condition?
1. Metabolic acidosis
2. Metabolic alkalosis
3. Respiratory acidosis
4. Respiratory alkalosis
3
Rationale 1: The PaO2 is 75–100 mmHg, HCO3 is 24–28 mEq/L, and the base excess (BE) is + 2 mEq/L, which would not indicate metabolic acidosis.
Rationale 2: The PaO2 is 75–100 mmHg, HCO3 is 24–28 mEq/L, and the base excess (BE) is + 2 mEq/L, which would not indicate metabolic alkalosis.
Rationale 3: The patient is in respiratory acidosis, as the pH is decreased below normal (7.35–7.45) and the PaCO2 is increased from normal (35–45 mmHg).
Rationale 4: The PaO2 is 75–100 mmHg, HCO3 is 24–28 mEq/L, and the base excess (BE) is + 2 mEq/L, which would not indicate respiratory alkalosis.
You might also like to view...
A male elementary school student has a severe allergy to peanuts and is displaying the signs of anaphylactic shock after inadvertently eating a peanut-containing candy bar
Which of the following statements best captures the boy's current status and preferred treatment? A) He is experiencing shortness of breath caused by potent vasoconstriction that can be relieved by epinephrine injection. B) He is approaching vascular shock and developing edema due to actions of IgE antibodies, situations that can be reversed by administration of epinephrine. C) His mast cells and basophils have been sensitized, but systemic effects can be mitigated by administration of bronchodilators. D) He is likely in a primary- or initial-stage allergic response that can be relieved by antihistamine administration.
A patient has had diagnostic tests to assess uric acid levels. The tests reveal that levels are elevated. The nurse should consider the patient's intake of what to potentially explain excessive levels?
a. Protein b. Calcium c. Leafy green vegetables d. Glucose
A registered nurse (RN) is assigned as charge nurse for the first time. She knows to consult the State Board of Nursing to determine scope of practice for Licensed Practical Nurses (LPN) and Unlicensed Assistive Personnel (UAP)
She also realizes there are common policies which exist in most state practice acts that include: a. the RN is held accountable for the decision to delegate, but responsibility rests only with the delegatee. b. the RN may only delegate tasks that are not in the scope of practice of the LPN if the delegatee is certain they are competent to perform the task. c. since the LPN is licensed, they practice professional nursing. d. to determine what tasks can be safely delegated; the RN must first assess the patient.
Which of the following nursing interventions would be appropriate after a wound evisceration?
1. Place the client in high-Fowler's position. 2. Give the client fluids to prevent shock. 3. Push the organs back inside and tape up the wound. 4. Apply a sterile saline-soaked dressing and cover.