When admitting a patient with possible respiratory failure with a high PaCO2, which assessment information should be immediately reported to the health care provider?

a. The patient is somnolent.
b. The patient complains of weakness.
c. The patient's blood pressure is 164/98.
d. The patient's oxygen saturation is 90%.


ANS: A
Increasing somnolence will decrease the patient's respiratory rate and further increase the PaCO2 and respiratory failure. Rapid action is needed to prevent respiratory arrest. An SpO2 of 90%, weakness, and elevated blood pressure all require ongoing monitoring but are not indicators of possible impending respiratory arrest.

Nursing

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