The nurse is caring for an infant who has a history of bronchopneumonia.
What should the nurse anticipate when monitoring laboratory results? Which of the following venous blood gas results should the nurse expect?

pO2: 75, pCO2: 40, HCO3: 28.

pO2: 55, pCO2: 50, HCO3: 30.

pO2: 75, pCO2: 40, HCO3: 24.

pO2: 55, pCO2: 50, HCO3: 24. .

Answer and Explanation

The Correct Answer is B

Choice A rationale

A pO2 of 75, pCO2 of 40, and HCO3 of 28 would be within normal limits for an infant. This would not typically be expected in an infant with a history of bronchopneumonia, as this condition often causes hypoxemia (low blood oxygen levels)78.

Choice B rationale

A pO2 of 55, pCO2 of 50, and HCO3 of 30 would indicate respiratory acidosis, which can occur in conditions like bronchopneumonia. The low pO2 indicates hypoxemia, while the high pCO2 indicates hypercapnia (excessive carbon dioxide in the bloodstream). The increased HCO3 is a compensatory mechanism to try to maintain the pH balance.

Choice C rationale

A pO2 of 75, pCO2 of 40, and HCO3 of 24 would be within normal limits for an infant. This would not typically be expected in an infant with a history of bronchopneumonia.

Choice D rationale

A pO2 of 55, pCO2 of 50, and HCO3 of 24 would indicate respiratory acidosis without compensation. However, in a chronic condition like bronchopneumonia, some degree of compensation (increased HCO3) would typically be expected.

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Correct Answer is D

Explanation

Choice A rationale

Adequate intake is crucial for hydration, but the information provided does not specify the infant’s intake.

Choice B rationale

Adequate output is a good sign of hydration, but the information provided does not specify the infant’s output.

Choice C rationale

Normal lab results could indicate adequate hydration, but the information provided does not specify the infant’s lab results.

Choice D rationale

The infant was admitted with dehydration, and without information on improved intake or output, it is reasonable to conclude that the infant’s lab results indicated dehydration.

A. Providing interdisciplinary care that is comprehensive. B. Empowering families to make decisions. C. Offering supportive and holistic care approaches to treat the child. D. Taking responsibility for care when needed.

Correct Answer is A

Explanation

Choice A rationale

Providing interdisciplinary care that is comprehensive is a key aspect of patient-centered care and the medical home model. This approach involves a team of healthcare professionals from various disciplines working together to provide comprehensive care. It ensures that all aspects of a patient’s health are considered and addressed, leading to more effective and efficient care.

Choice B rationale

Empowering families to make decisions is an important aspect of patient-centered care, but it is not the key aspect of the medical home model. While patient and family empowerment is crucial for ensuring that care aligns with the patient’s values and preferences, the medical home model’s primary focus is on providing comprehensive, coordinated care.

Choice C rationale

Offering supportive and holistic care approaches to treat the child is an important aspect of patient-centered care, but it is not the key aspect of the medical home model. While these approaches can enhance the quality of care and patient satisfaction, the medical home model’s main focus is on providing comprehensive, coordinated care.

Choice D rationale

Taking responsibility for care when needed is an important aspect of patient-centered care, but it is not the key aspect of the medical home model. While healthcare providers must be ready to take responsibility for care when necessary, the medical home model’s primary focus is on providing comprehensive, coordinated care.

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The nurse is caring for an infant who has a history of bronchopneumonia.What should the nurse anticipate when monitoring laboratory results? Which of the following venous blood gas results should the nurse expect?

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Correct Answer is D

Explanation

The nurse recognizes that which of the following is a key aspect of patient-centered care and the medical home model?

Correct Answer is A

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The nurse is caring for an infant who has a history of bronchopneumonia.
What should the nurse anticipate when monitoring laboratory results? Which of the following venous blood gas results should the nurse expect?