A nurse is providing care for an individual admitted with an acute asthma attack. Arterial blood gas (ABG) results indicate pH = 7.33; CO2 = 49; HCO3 = 26; and oxygen saturation is 87.
After initiating treatment with intravenous (IV) fluids, bronchodilators, and oxygen therapy at 4 L via nasal cannula (NC), the patient's repeat ABG results are pH = 7.35; CO2 = 47; HCO3 = 26; and oxygen saturation is 89. Which of the following actions should the nurse take next?
1. Prepare to send the patient to intensive care unit (ICU).
2. Document the findings in the chart.
3. Inform the family that the patient's condition is worsening.
4. Assess the characteristics of the patient's respirations, heart rate and rhythm, skin color, and function of oxygen delivery equipment.
Question 2
Which of the following individuals will be at the lowest risk for an electrolyte imbalance?
1. A 42-year-old with an estimated blood loss of 1/2 pint because of traumatic injury
2. A 28-year-old with third-degree burns to an estimated 30 of his body
3. A 31-year-old who has had vomiting and diarrhea for the past 3 days
4. A 55-year-old suffering from heat stroke after running a marathon
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