1. Following insertion of a central line, a client begins to have difficulty breathing. The client becomes progressively cyanotic and becomes unresponsive. The care team suspects an air embolus that should prompt the nurse to immediately: A. Administer a thrombolytic B. Place the client on the left side with the clients head down C. Have the client bear down and perform a Valsalva maneuver. D. Auscultate the clients heart sounds 2. A client has a nursing diagnosis of fluid volume deficit. Which vital signs, if decreased, supports this nursing diagnosis? A. Temperature B. Respiratory rate C. Heart rate D. Blood pressure 3. A nurse is caring for a client suspected of having a pulmonary embolus. The clients arterial blood gas (ABG) results indicate respiratory alkalosis. Which findings support this diagnosis? A. PH 7.54 Paco2 25 B. PH 7.39 Paco2 39 C. PH 7.50 Paco2 40 D. PH 7.32 Paco2 48
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The client has difficulty breathing, becomes cyanotic, and unresponsive. This suggests a possible air embolus. Show more…
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3. In a man undergoing surgery, it was necessary to aspirate the contents of the upper gastrointestinal tract. After surgery, the following values were obtained from an arterial blood sample: pH 7.55, PCO2 52 mm Hg and HCO3- 40 mmol/l. What is the underlying primary acid-base disorder (first), is there compensation (second)? a. Metabolic Acidosis, incomplete compensation with respiratory alkalosis b. Metabolic Alkalosis, full compensation with respiratory acidosis c. Respiratory Acidosis, full compensation with metabolic alkalosis d. Respiratory Alkalosis, incomplete compensation with metabolic acidosis e. Metabolic Alkalosis, incomplete compensation with respiratory acidosis 4. A young woman is found comatose, having taken an unknown number of sleeping pills an unknown time before. An arterial blood sample yields the following values: • pH: 6.90 • HCO3-: 13 mEq/liter • PaCO2: 68 mmHg This patient's acid-base status is most accurately described as a. Uncompensated metabolic acidosis b. Uncompensated respiratory acidosis c. Mixed respiratory and metabolic acidosis d. Respiratory acidosis with partial renal compensation e. Fully compensated metabolic acidosis 5. A student is nervous for a big exam and is breathing rapidly. Which do you expect from the followings? a. Metabolic Acidosis b. Metabolic Alkalosis c. Respiratory Acidosis d. Respiratory Alkalosis e. Mixed Acidosis and Alkalosis
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