Place the steps for analyzing arterial blood gases in the proper order
1 . Assess HCO3- level for metabolic abnormalities.
2 . Assess PaO2 for hypoxemi
a.
3 . Examine PaCO2 for acidosis or alkalosis.
4 . Re-examine pH to determine level of compensation.
5 . Examine pH for acidemia or alkalemia.
a. 5, 1, 2, 4, 3
b. 5, 3, 1, 4, 2
c. 1, 2, 4, 3, 5
d. 1, 3, 4, 5, 2
B
A methodic approach when assessing arterial blood gases allows the nurse to detect subtle changes. A methodic approach includes look at the Pao2 level, look at the pH level, look at the Paco2 level, look at the HCO3-, and look again at the pH level.
You might also like to view...
The nurse is teaching a patient and his family about medication safety. Which of the following statements should not be included in the teaching?
a. With older adults, the general rule for medications is start low and go slow. b. The more medications a person takes, the greater the risk of interactions and side effects. c. Medicare covers all medications for Seniors. d. Medication regimens may often be enhanced by lifestyle modifications that also address the individual's health.
The nurse on a medical-surgical unit is providing caring for a 40-year-old patient with pulmonary arterial hypertension (PAH). The prescriber has ordered sildenafil (Revatio) for the patient
Which of the following situations would prompt the nurse to call the prescriber prior to starting administration of the drug? a. Blood glucose of 100, and the patient has type 2 diabetes b. Blood pressure of 108/51 and concurrent use of nitrates c. Respirations of 16, and the patient is taking an opiate every 6 hours d. Jaundice of the sclera with a history of cirrhosis
The priority nursing intervention for a client experiencing a laryngospasm would be
a. administering 100% oxygen. b. calling the resuscitation team. c. positioning the client in high-Fowler position. d. starting in IV with a large-bore catheter.
The nurse caring for an older cognitively impaired patient with osteoarthritis in both hands assesses the patient for hand pain by
a. observing for facial grimacing when the patient uses a fork to eat. b. being alert for signs of agitation when washing the patient's hands. c. listening to detect moaning when patient makes a fist. d. watching for signs that the patient is re-luctant to shake hands.