Author Question: A client with a nasogastric tube connected to low continuous suction has the following arterial ... (Read 127 times)

ssal · **on:** Jun 25, 2018

A client with a nasogastric tube connected to low continuous suction has the following arterial blood gas (ABG) results:

pH 7.49, PaO2 91, PaCO2 42, and HCO3 31. Interpreting these result, the nurse concludes that the client is in:
1. metabolic acidosis.
2. metabolic alkalosis.
3. respiratory acidosis.
4. respiratory alkalosis.

Question 2

A client scheduled for surgery is instructed on the use of a patient-controlled analgesic device that she will use after the procedure. What are the advantages this device for pain control? (Select all that apply.)

1. The client controls the timing of medication delivery.
2. The client does not have to wait for a nurse to provide pain medication.
3. The nurse does not have to check on the client as frequently.
4. The physician does not need to prescribe various pain medication after the surgery.
5. The medication is delivered intravenously.
6. Pain control improves client comfort after surgery.

fur · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

2
Because the pH is greater than 7.45, this is not an acidosis. The PaCO2 is within normal limits. The HCO3 is elevated. An elevated pH and HCO3 indicates metabolic alkalosis.

Answer to Question 2

1, 2, 5, 6
Advantages to the use of a patient-controlled analgesic device for a client include client paces the timing of medication delivery, client has control and immediate relief from medications, medications are delivered instantly, medications are delivered intravenously, client has improved comfort. The nurse not needing to check on the client as frequently is not an advantage for this type of analgesic device. The physician not needing to prescribe various pain medications is not an advantage for this type of device.