Mrs. White was involved in a motor vehicle accident and underwent ...

[mynx]

Mrs. White was involved in a motor vehicle accident and underwent a loop colostomy. She asks the nurse about the colostomy and asks what is draining out of each side. What is the nurse's best response?
 
  A. There is stool draining out of both sides.
  B. Stool is draining out the right side and mucus is draining out the left side.
  C. There is mucus and stool draining from both sides.
  D. Stool is draining out the left side and mucus is draining out the right side.

Question 2

A 76-year-old patient is hospitalized with pneumonia. She has become increasingly confused throughout the shift. The nurse becomes concerned about her condition and contacts the health care provider who orders arterial blood gasses.
 
  The blood gasses show a pH of 7.33, PaCO2 of 47, PaO2 of 78 and bicarbonate of 26 . This indicates which of the following? A. Respiratory alkalosis
  B. Respiratory acidosis
  C. Metabolic alkalosis
  D. Metabolic acidosis

[lkoler]

Answer to Question 1

B
Loop colostomies are frequently performed on an emergency basis and are temporary large sto-mas constructed in the transverse colon. The loop ostomy has two openings through the stoma. The proximal end drains stool, and the distal portion drains mucus.

Answer to Question 2

B
Respiratory acidosis is an increased arterial carbon dioxide concentration (PaCO2), excess carbonic acid (H2CO3), and an increased hydrogen ion concentration (pH less than 7.35). Hypoventilation causes respiratory acidosis, which causes the cerebrospinal fluid and brain cells to become acidic, producing neurological changes. Respiratory depression can also cause hypoxemia, resulting in further neurological impairment.