NUR 2392 / NUR2392: Multidimensional Care II MDC 2 Exam 2 2023
NUR 2392 / NUR2392: Multidimensional Care II MDC 2 Exam 2 2023. The nurse is reviewing the standing orders for a patient who was admitted for evaluation of chest pain. The patient has a history of (COPD) and his laboratory results and assessment reveal that he has mild respiratory acidosis. The nurse would question which order? Oxygen therapy at 4 L/min as needed - Oxygen therapy at 4L/ Min as needed. Oxygen therapy is often ordered for =respiratory acidosis. However, COPD patients have a difficult time off-loading carbon dioxide and giving too much oxygen can cause these patients to have a decrease in respiratory drive, leading to respiratory arrest. 4. A client has acute alcohol intoxication. What acid-base imbalance is the client at risk for? Metabolic Acidosis 5. A client comes into the ED with respiratory acidosis. What type of medication would the nurse likely administer? Bronchodilators 6. A client comes into the ED with a high fever and is hyperventilating. His ABG results are pH 7.51, PaCO2 28 mm Hg, and HCO3 24 mEq/L. The nurse should identify that the client has which acid-base imbalance? Respiratory Alkalosis. Because the client is breathing rapidly, he is exhaling excessive amounts of carbon dioxide. This loss of carbon dioxide decreases the hydrogen ion levels of the blood, causing the pH to increase and resulting in respiratory alkalosis
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