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Exhibits

The nurse Interprets the repeat blood gas.

Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided.

The blood gas results indicate that the client has

, and

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B","dropdown-group-3":"A"}

  • The initial blood gas results show a pH of 7.21, which is below the normal range, indicating acidosis.
  • The PaCO2 is elevated at 58 mmHg, suggesting that the acidosis is respiratory in nature, as CO2 is a respiratory acid.
  • The HCO3 level is within the normal range, which typically would not suggest a primary metabolic problem.
  • The repeat blood gas shows an improvement in pH to 7.37, which is within the normal range, indicating that the condition is being compensated.
  • The PaCO2 has decreased to 52 mmHg, which is still above normal but shows improvement, further supporting the compensation.
  • Given these changes, the most likely interpretation of the blood gas results is that the client has "compensated respiratory acidosis."


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Related Questions

Correct Answer is ["C","E","F"]

Explanation

A. Typically, there is no need to restrict a child to clear liquids for several days post-cardiac catheterization unless specified by the physician.
B. Bathing should be avoided if the catheterization was done through the groin, but showers are usually permitted after 24 hours, provided the water does not directly hit the incision site.
C. Monitoring for fever is important as it can be a sign of infection.
D. A pressure dressing is usually kept on the site for the first few hours post-procedure, not for an entire week.
E. Ibuprofen can be given for pain, but it's important to follow the physician's advice regarding dosage and frequency.
F. It is crucial to alert the physician if the site bleeds or swells as this could indicate a complication from the procedure.

Correct Answer is C

Explanation

A. While fever after vaccination should be monitored, not all fevers after vaccination are serious.
Low-grade fevers are common and may not require immediate reporting unless they are persistent or accompanied by other concerning symptoms.
B. Children's aspirin should not be given to prevent inflammation after vaccination due to the risk of Reye's syndrome. Acetaminophen or ibuprofen may be recommended for fever or discomfort after vaccination, but not aspirin.
C. Applying a cool pack to the injection site can help reduce discomfort and swelling, which are common reactions to vaccines. This is an appropriate instruction for caring for the injection site after receiving the Hib vaccine.
D. Keeping the child home from daycare for the next two days is not necessary unless the child experiences unusual symptoms or reactions to the vaccine. Most children can resume normal activities after vaccination.

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