Author Question: The nurse is reviewing the arterial blood gas of a client with chronic obstructive pulmonary disease ... (Read 65 times)

stock

  • Hero Member
  • *****
  • Posts: 573
The nurse is reviewing the arterial blood gas of a client with chronic obstructive pulmonary disease (COPD). The results of the gas are: pH 7.34, CO2 55, PaO2 70, HCO3 28. What action should the nurse take?
 
  1. Place the client on 10 L of oxygen.
  2. Notify the charge nurse immediately.
  3. Nothing; this is a normal gas for this client.
  4. Notify the physician.

Question 2

A client with chronic lung disease is having difficulty breathing, and is slumped in the bed. The priority nursing intervention would be to:
 
  1. place the client on oxygen.
  2. have the client breathe into a paper bag.
  3. call and request a code team.
  4. place the client in a high Fowler's position.



kilada

  • Sr. Member
  • ****
  • Posts: 311
Answer to Question 1

Answer: 3

1. In clients with chronic high CO2, a lower PaO2 level is the client's stimulus to breathe. Giving oxygen will risk respiratory failure in the client.
2. This is a normal gas for the client with COPD; the charge nurse is not notified.
3. This is a normal gas for this client.
4. Since this is the expected result, the physician is not notified.

Answer to Question 2

Answer: 4

1. The client with chronic lung disease should not be placed on oxygen, as the client might experience respiratory failure.
2. Breathing into a paper bag will increase CO2 levels.
3. The client probably does not need the code team until the nurse has performed an assessment.
4. Clients with chronic lung disease need to be positioned in a semi-Fowler's or high Fowler's position, preferably leaning over a table or pillow to promote lung expansion. The nurse first would position the client correctly and then would assess the vital signs.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

Excessive alcohol use costs the country approximately $235 billion every year.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

Methicillin-resistant Staphylococcus aureus or MRSA was discovered in 1961 in the United Kingdom. It if often referred to as a superbug. MRSA infections cause more deaths in the United States every year than AIDS.

Methicilli ...
Did you know?

In the United States, an estimated 50 million unnecessary antibiotics are prescribed for viral respiratory infections.

For a complete list of videos, visit our video library