Interpret the following ABG:

PH 7.51

Pa02 88

PaC02 32

Bicarb (HC03-) 26

Sa02 95%

respiratory acidosis

respiratory alkalosis

metabolic acidosis

metabolic alkalosis

Answer and Explanation

The Correct Answer is B

A. Respiratory acidosis: Respiratory acidosis would present with a low pH (below 7.35) and a high PaCO2 (above 45 mmHg).

B. Respiratory alkalosis: This ABG shows a high pH (7.51), low PaCO2 (32 mmHg), and normal HCO3- (26 mEq/L), indicating respiratory alkalosis, typically due to hyperventilation.

C. Metabolic acidosis: Metabolic acidosis would present with a low pH and low HCO3-, but in this case, the HCO3- is normal.

D. Metabolic alkalosis: Metabolic alkalosis would show a high pH and high HCO3-, but the HCO3- in this ABG is normal.

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

Explanation

A. Reoccurrence of chest pain/discomfort: This can indicate restenosis or complications post-PCI, requiring immediate attention.

B. Puncture site for bleeding/hematoma: Bleeding at the puncture site is a common complication, so it must be closely monitored.

C. Pulse distal to puncture site: Checking the pulse distal to the puncture site helps assess for arterial occlusion or compromised blood flow, which can occur if a hematoma or clot forms.

D. Urinary output: While monitoring urinary output is important for overall assessment, it is not directly related to complications specific to PCI.

A. Pulmonary crackles/rales B. Weight gain C. Hepatomegaly D. Jugular vein distention

Correct Answer is A

Explanation

A. Pulmonary crackles/rales: Left-sided heart failure leads to a buildup of fluid in the lungs, causing pulmonary congestion and crackles/rales on auscultation.

B. Weight gain: This is more commonly associated with right-sided heart failure due to fluid retention, though it can be seen in both types of heart failure.

C. Hepatomegaly: Hepatomegaly is typically associated with right-sided heart failure due to congestion in the systemic circulation.

D. Jugular vein distention: JVD is a sign of right-sided heart failure, as it indicates increased central venous pressure.

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Interpret the following ABG: PH 7.51 Pa02 88 PaC02 32 Bicarb (HC03-) 26 Sa02 95%

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following should the nurse assess in a patient who has just undergone a PCI (percutaneous coronary intervention) (select all that apply)

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

Explanation

Which of the following is an indication of Left sided heart failure?

Correct Answer is A

Explanation

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Interpret the following ABG:

PH 7.51

Pa02 88

PaC02 32

Bicarb (HC03-) 26

Sa02 95%