Question 1
The nurse receives the following ABG result:
pH = 7.00
PaCO
2 = 50 mm Hg
PaO
2 = 89 mm Hg
SaO
2 = 90%
Based on the results, what should the nurse do first?
◦ Apply oxygen per nasal cannula at 2 L/min.
◦ Review the history for asthma or emphysema.
◦ Assess lung sounds and vital signs.
◦ Check the last dose of CNS depressant drug.
Question 2
Which assessment findings should indicate to the nurse that a patient is experiencing respiratory distress? Select all that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.◦ Jugular vein distention
◦ Use of abdominal muscles
◦ Tachycardia
◦ Intercostal muscle retractions
◦ Bradypnea
NUrse
Nurse-patient interaction; nonveral communication
Patient Teaching
Patient Teaching Methods Cont.
Respiratory system
Physical Findings of Tension Pneumothorax