Author Question: A client has a slight shift to the left on the oxygen-hemoglobin dissociation curve. Which of the ... (Read 78 times)

itsmyluck · **on:** Jun 25, 2018

A client has a slight shift to the left on the oxygen-hemoglobin dissociation curve. Which of the following assessment findings will support this curve configuration?

1. Arterial pH less than 7.35
2. Increased levels of 2,3-diphosphoglycerate
3. Hyperthermia
4. Hypothermia

Question 2

A client tells the nurse that he has been told that he needs surgery but does not know who to select as his surgeon.

Which of the following should the nurse instruct the client regarding important attributes to consider when choosing a surgeon? (Select all that apply.)
1. Board certification
2. Graduation from a reputable school
3. Personality or bedside manner
4. Location of office
5. Word of mouth from trusted others
6. The car he or she drives

ankilker · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

4
Factors that cause increased affinity of oxygen for hemoglobin will shift the oxyhemoglobin dissociation curve to the left. These factors include alkalemia and hypothermia. Arterial pH less than 7.35, increased leaves of 2,3-diphosphoglycerate, and hyperthermia indicate a shift to the right, not the left.

Answer to Question 2

1, 2, 3, 5
When choosing a surgeon, a client should consider board certification, graduation from a reputable school of medicine, personality and bedside manner, and the opinion of others through word of mouth. Where the office is located and the car the physician drives are not signs of the surgeon's talent.