The nurse is assessing arterial blood gases (ABGs). The client with which ABG reading requires the nurse's immediate attention?

a. pH, 7.32; PaCO2, 55 mm Hg; PaO2, 70 mm Hg
b. pH, 7.45; PaCO2, 42 mm Hg; PaO2, 70 mm Hg
c. pH, 7.48; PaCO2, 38 mm Hg; PaO2, 60 mm Hg
d. pH, 7.55; PaCO2, 32 mm Hg; PaO2, 50 mm Hg


D
This client has the most severe hypoxia and respiratory alkalosis, indicated by low partial pressure of arterial carbon dioxide (PaCO2) values on ABG analysis.

Nursing

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A pediatric nurse practitioner has diagnosed a 4-year-old girl with otitis media. The nurse should understand that infectious microorganisms likely entered the girl's middle ear by what means?

A) Through an alteration in the eustachian tube B) Through the external ear C) From within the cochlea or vestibule D) From the interstitial spaces in the middle ear

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One of a pair of twins is diagnosed with ASD. If this case follows research predictions, what is the probability that the other twin will also develop ASD?

1. The probability would be the same as with the twin's other siblings. 2. The probability would be highest if the twins were dizygotic. 3. The probability is lower than in the general public. 4. The probability would be highest if the twins were monozygotic.

Nursing

The nurse's initial responsibility in the management of a client's collaborative problem is to:

1. Monitor for changes 2. Advocate for the client 3. Implement interventions 4. Evaluate client outcomes

Nursing

The nurse is explaining the health insurance portability and accountability act to a group of new employees. What should the nurse include when explaining its purpose? Select all that apply

A. Protects health insurance benefits B. Provide transferability of insurance to others C. Protects family members D. Protects those with pre-existing conditions E. Provides personal health information privacy

Nursing