Practice Question
A nurse is caring for a client who has just experienced a "second tonic-clonic seizure. The blood gas values are pH 6.88, Pa02 SO PaC02 60 mmHg, and HC03 22mEq/L Which action should the nurse take first?
Answer Choices:
Correct Answer:
Apply oxygen by mask or nasal cannula
Rationale:
🔵 The pH of 6.88 and PaCO₂ of 60 mmHg indicate respiratory acidosis, likely due to inadequate ventilation following the seizure.
🔵 The client’s hypoxia (PaO₂ of 50) suggests that the first priority should be improving oxygenation to prevent further respiratory distress or brain damage.
🔵 Applying oxygen via mask or nasal cannula will help increase oxygen levels and improve the pH by reducing CO₂ retention.
🔵 Immediate oxygenation is more critical than administering sodium bicarbonate, which can be considered later if acidosis persists.
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This question is from NUR 133~Acid-base & Electrolytes Exam 2 which contains 74 questions.
More Questions from This Exam
During a change-of-shift report, a nurse sees that a client’s IV bag of 0.9% sodium chloride has 909 mL of fluid left in it. The nurse makes rounds 30 min later and notes that the IV bag is empty. Which of the following actions should the nurse take?
Answer Choices:
Interpret the following. ABG: pH 7.49, pC02 30 mmHg, HC03 23 Meq/L, Pa02 96 mmHg SaO2 98%
Answer Choices:
Interpret the ABG: pH 7.41. PaCO2 45mmHg. HCO3 26. PaO2 84 mmHg. SaO2 normal ABG
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A nurse is collecting data from a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?
Answer Choices:
The nurse is aware that the compensating mechanism that is most likely to occur in the presence of respiratory acidosis is:
Answer Choices:
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: Fluids and Electrolytes
- Answer Choices: 4