A client's blood gas analysis results show an increase in carbon dioxide level. What will the nurse most likely assess in this client?

1. Decreased respiration rate.
2. Increased respiration rate.
3. Increased blood pressure.
4. Decreased bowel sounds.


Correct Answer: 2
Rationale 1: An increase in carbon dioxide level will increase, not decrease, respirations.
Rationale 2: Of the three blood gases—hydrogen, oxygen, and carbon dioxide—that can trigger chemoreceptors, increased carbon dioxide concentration normally has the strongest effect on stimulating respiration.
Rationale 3: An increase in carbon dioxide level might not increase the client's blood pressure.
Rationale 4: An increase in carbon dioxide level has no effect on the client's bowel sounds.

Nursing

You might also like to view...

A nurse manager in a community clinic is concerned because the local refugee population does not seek health care routinely. What action by the nurse would be most helpful?

A. Assess clinic staff and procedures for evidence of ethnocentrism. B. Put up flyers advertising the clinic's services in local retailers. C. Reward preventative health patients with coupons for needed items. D. Try to meet with community leaders to work on the problem.

Nursing

Any health care condition that requires diagnostic, therapeutic, or educational actions is known as a ______________

Fill in the blank(s) with correct word

Nursing

A child is admitted for revision of a ventriculoperitoneal shunt for noncommunicating hydrocephalus. What is a common reason for elective revision of this shunt?

a. Meningitis b. Gastrointestinal upset c. Hydrocephalus resolution d. Growth of the child since the initial shunting

Nursing

An older patient takes warfarin (Coumadin). The patient's international normalized ratio (INR) is 1.0. What action by the nurse is best?

a. Nothing; this level is therapeutic. b. Assess the patient's diet history. c. Prepare to administer vitamin K. d. Double the warfarin dose.

Nursing