A patient's respiratory quotient is measured to be 1
1. The nurse realizes that which of
the following can occur in this patient?
1. retain carbon dioxide
2. malnutrition
3. vitamin deficiency
4. fluid overload
1
Rationale: The normal respiratory quotient value is approximately 0.85 which indicates that the patient is using about an equal amount of carbohydrates, fats, and proteins for energy. The higher the number the greater the amount of glucose being used. A respiratory quotient above 1.0 indicates that the patient is receiving too much carbohydrate. Because glucose breaks down to carbon dioxide, excess carbohydrate intake can potentially result in carbon dioxide retention. The respiratory quotient of 1.1 does not indicate malnutrition, vitamin deficiency, or fluid overload.
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A 3.8-kg infant was delivered vaginally at 39 weeks after a 30-minute second stage. There was a nuchal cord. After birth the infant is noted to have petechiae over the face and upper back
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