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ABG pH range - ✔✔7.35-7.45
ABG PaO2 range - ✔✔80-100mmHg
ABG PaCo2 range - ✔✔35-45 mmHg
ABG HCO3 range - ✔✔21-28 mEq/L
ABG SaO2 range - ✔✔95-100%
A nurse is caring for a client who is scheduled for a thoracentesis. Prior to
the procedure, which of the following actions should the nurse take?
A. Position the client in an upright position, leaning over the bedside table
B. Explain the procedure
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,C. Obtain ABGs
D. Administer benzocaine spray - ✔✔A. Position the client in an upright
position and bent over the bedside table widens the intercostal space for
the provider to access the pleural fluid.
pg. 102
A nurse is reviewing ABG laboratory results of a client who is in
respiratory distress. The results are pH 7.47, PaCO2 32, HCO3 22. The
nurse should recognize that the client is experiencing which of the
following acid-base imbalances?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis - ✔✔B. A client who is experiencing respiratory
alkalosis will have an increased pH and a decreed PaCO2. Possible causes
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,of respiratory alkalosis include hyperventilation, fever, and respiratory
infections.
pg. 102
A nurse is assessing a client following a bronchoscopy. Which of the
following findings should the nurse report to the provider?
A. Blood-tinged sputum
B. Dry, nonproductive cough
C. Sore throat
D. Bronchospasms - ✔✔D. Bronchospasms can indicate the client is having
difficulty maintaining a patient airway. The nurse should notify the
provider immediately.
pg. 102
A nurse is caring for a client who is scheduled for a theracentesis. Which of
the following supplies should the nurse ensure are in the client's room?
Select all that apply.
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, A. Oxygen equipment
B. Incentive spirometer
C. Pulse oximeter
D. Sterile dressing
E. Suture removal kit - ✔✔A. Oxygen equipment is necessary to have in the
client's room if the client becomes short of breath following the procedure.
C. Pulse oximetry is necessary to monitor oxygen saturation level during
the procedure
D. A sterile dressing is necessary to apply to the puncture site following the
procedure.
pg.102
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