The nurse is evaluating acid?base status in a client with septic shock. Which of the following alterations is anticipated?
1. HCO3 of 10 mEq/L
2. pH of 7.46
3. pCO2 of 35 mm HG
4. pO2 of 77 mm HG
HCO3 of 10 mEq/L
Rationale: Septic shock results in lactic acidosis secondary to tissue hypoxia, which is manifested in a decreased bicarbonate level. A pH of 7.46 is normal. A pCO2 of 35 mm is normal. A pO2 of >75?80 is normal.
You might also like to view...
The nurse assesses the patient's postoperative wound and determines that the wound is inflamed, most likely because of an infection, when noting what classic symptoms? (Select all that apply.)
A) Heat around the site of the wound B) Redness around the site of the wound C) Increase in reports of pain D) Edema at the site of the wound E) Serosanguineous drainage from the wound
The nurse is assessing a client's skin. The nurse asks a student nurse about body fluids that are generally acidic and very irritating to the skin
Based on this information, what are the best responses by the student nurse of which body fluids are generally acidic and very irritating to the skin? 1 . Sputum 2 . Perspiration 3 . Urine 4 . Vomitus A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
A nurse notes that there is a large amount of sanguineous drainage on a patient's dressing. There are no physician orders for a dressing change, so the nurse will
1. Circle the drainage on the dressing and record the time of assessment. 2. Continue to monitor the dressing. 3. Carefully clean around the wound. 4. Reinforce the dressing with additional dressings.
Place in correct order the sequence of maturational changes for girls. Begin with the first change seen, sequencing to the last change
a. Growth of pubic hair d. Menstruation b. Rapid increase in height and weight e. Appearance of axillary hair c. Breast changes 47. First change 48. Second change 49. Third change 50. Fourth change 51. Fifth change