A client with severe bronchial pneumonia has been receiving oxygen, respiratory treatments, antibiotics, and intravenous fluids.
Which arterial blood gas result would indicate that the treatment has been effective?

pH, 7.32; pCO2, 47 mm Hg; HCO3, 29 mEq/L; pO2, 80.

pH, 7.34; pCO2, 49 mm Hg; HCO3, 27 mEq/L; pO2, 77.

pH, 7.38; pCO2, 40 mm Hg; HCO3, 25 mEq/L; pO2, 88.

pH, 7.48; pCO2, 43 mm Hg; HCO3, 23 mEq/L; pO2, 85.

Answer and Explanation

The Correct Answer is C

This is because it shows a normal pH, pCO2, HCO3 and pO2, indicating that the treatment has been effective in restoring normal gas exchange and acid- base balance.

Choice A is wrong because it shows a low pH, high pCO2 and high HCO3, indicating a mixed respiratory and metabolic acidosis.

Choice B is wrong because it shows a low pH, high pCO2 and low HCO3, indicating a combined respiratory and metabolic acidosis.

Choice D is wrong because it shows a high pH, low pCO2 and low HCO3, indicating a mixed respiratory and metabolic alkalosis.

The normal ranges for arterial blood gas (ABG) are:

pH: 7.35 – 7.45
pO2: 10 – 14 kPa or 75 – 105 mmHg
pCO2: 4.5 – 6 kPa or 34 – 45 mmHg

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Correct Answer is C

Explanation

Determining whether chest pain has been relieved. This is because nitroglycerin is a medication that is used to treat chest pain caused by cardiac origin or acute pulmonary edema. The main action of nitroglycerin is to relax and dilate the blood vessels, which reduces the workload of the heart and improves blood flow to the heart muscle.

Therefore, the most important nursing action after administering nitroglycerin sublingually is to assess if the chest pain has subsided or not.

Choice A is wrong because monitoring the client’s respiratory rate and effort is not the most important action after giving nitroglycerin. Although nitroglycerin can cause hypotension and bradycardia, which may affect the respiratory status, these are side effects that can be managed and are not life-threatening as chest pain.

Choice B is wrong because warning the client to lie still to prevent a headache is not a priority after giving nitroglycerin. Nitroglycerin can cause headache as a side effect, but this can be treated with analgesics and does not require the client to lie still. Moreover, lying still may increase the risk of venous thromboembolism in a client with peripheral vascular disease.

Choice D is wrong because verifying that the sublingual tablet produced a tingling sensation is not essential after giving nitroglycerin.

Although some sublingual tablets may produce a tingling sensation, this is not a reliable indicator of the drug’s effectiveness

A. Assist the client in identification of a social support network. B. Administer sedative-hypnotics as directed. C. Identify stress-reducing techniques when environmental stressors cannot be controlled. D. Discuss with the client factors they feel contribute to stress.

Correct Answer is ["A","C"]

Explanation

These interventions help the client to cope with stress by enhancing their social support and teaching them skills to manage stressors.

Choice B is wrong because sedative hypnotics may cause dependence and do not address the underlying causes of stress.

Choice D is wrong because discussing factors that contribute to stress may increase the client’s anxiety and does not provide any solutions.

The normal range for coping is to use adaptive strategies that reduce stress and promote well-being.

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A client with severe bronchial pneumonia has been receiving oxygen, respiratory treatments, antibiotics, and intravenous fluids. Which arterial blood gas result would indicate that the treatment has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing action is most important after administering nitroglycerin sublingually?

Correct Answer is C

Explanation

When a client has a nursing diagnosis of Ineffective Coping, which nursing interventions would best meet the desired outcome of demonstrating appropriate coping strategies? (Select all that apply).

Correct Answer is ["A","C"]

Explanation

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A client with severe bronchial pneumonia has been receiving oxygen, respiratory treatments, antibiotics, and intravenous fluids.
Which arterial blood gas result would indicate that the treatment has been effective?