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Author Question: The nurse is caring for a comatose client with respiratory acidosis. For which intervention will the ... (Read 151 times)

Engineer

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on: Jun 25, 2018
The nurse is caring for a comatose client with respiratory acidosis. For which intervention will the nurse need to collaborate when caring for this client?
 
  A) Measuring vital signs
  B) Measuring intake and output
  C) The client's recent eating behaviors
  D) Identifying current oxygen saturation level

Question 2

The results of a client's arterial blood gas sample reveal an oxygen level of 72 mmHg. For which associated health problem should the nurse assess this client?
 
  A) Communication
  B) Perfusion
  C) Fluid and electrolyte imbalance
  D) Cognition


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Kdiggy

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Reply #1 on: Jun 25, 2018
Answer to Question 1

Answer: C

For clients in severe distress, family members may need to be consulted for critical information such as recent eating habits and history of vomiting. Measuring vital signs is an independent nursing action. Measuring intake and output is an independent nursing action. Identifying current oxygen saturation level is an independent nursing action.

Answer to Question 2

Answer: D

An oxygen level of less than 75 mmHg can be due to hypoventilation. This drop in oxygen will change the client's level of responsiveness. Although acid-base imbalances can alter communication, there is no direct link between a low oxygen level and changes in communication. Perfusion is affected by a reduction in circulating fluids. With a fluid and electrolyte imbalance, there is another disorder affecting acid-base balance. This might not be affected by oxygen level.


Engineer

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Reply #2 on: Jun 25, 2018
Thank you :)


Kdiggy

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Reply #3 on: Jun 25, 2018
Happy to help you


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