NURS 4110 ATI MED SURG SURG TEST 2 GUIDE QUESTIONS & ANSWERS

NURS 4110 ATI MED SURG SURG TEST 2 GUIDE QUESTIONS & ANSWERS - 100% Verified Questions and Answers NURS 4110 ATI MED SURG SURG TEST 2 GUIDE QUESTIONS & ANSWERS ABGs 1. The physician orders the following mechanical ventilation settings for a client. The client's spontaneous respiratory rate is 22 breaths/min. What arterial blood gas abnormality may occur if the client continues to be tachypneic at these ventilator settings? - Respiratory Alkalosis  hyperventilating 2. A client with persistent vomiting of 3 days duration is seen at the urgent care center because of increasing weakness. IV therapy with Ringer's solution is started, and an arterial blood gas (ABG) analysis is ordered. Results of the ABGs that would be expected include: Choice the - Metabolic Alkalosis pH 7.48; PCO2 40, HCO3 30mEqL 3. A client is admitted to the progressive care unit with a diagnosis of pneumonia. The client has a history of obstructive pulmonary disease and diabetes. A set of arterial blood gases is obtained on admission: room air pH is 7.35; PaCo2 is 55 mm Hg; bicarbonate is 30 mEq/L; PaO2 is 65 mm Hg. These levels reflect hypoxemia: - Compensated Respiratory Acidosis 4. A client is admitted with a diagnosis of acute respiratory distress syndrome (ARDS). Which of the following arterial blood gas results indicates acute respiratory failure? - pH 7.20, HCO3 23, PO2 40, PCO2 58 5. A post-operative client is being mechanically ventilated in the synchronized intermittent mandatory ventilation (SIMV) mode at a rate of 4 breaths/min. His spontaneous respirations are 12 breaths/min. He receives a dose of morphine sulfate, and his respirations decrease to 4 breaths/min. Which acid-base disturbance is this client at risk for? - Hypoventilation Respiratory Acidosis 6. The nurse is assessing a client who is brought to the emergency department following an overdose of sedatives. Which of the following findings would indicate to the nurse that the client is having complications? - Hypoventilation and Respiratory Acidosis 7. Select all question of patient that overdosed on sedative, now has resp. acidosis - Decrease CNS - Overdose of sedation 8. A client is diagnosed with acute respiratory failure. What acid-base abnormality may occur if the client's receives Ativan 2 mg IV with following ventilator settings? Mode: Synchronized Intermittent Mandatory Ventilation (SIMV) Respiratory rate: 10 breaths per minute (BPM) Tidal volume: 500 mL FiO2: 75% Positive end expiratory pressure (PEEP): +5 - Respiratory Acidosis 9. The physician orders the following mechanical ventilation settings for a client. The client's spontaneous respiratory rate is 22 breaths/min. What arterial blood gas abnormality may occur if the client continues to be tachypneic at these ventilator settings? Mode: Assist Control Respiratory rate: 14 breaths per minute (BPM) Tidal volume: 800 mL FiO2: 0.50% Positive end expiratory pressure (PEEP): 10 cm - Respiratory Alkalosis 10. Last time you check respirations at 20bpm - Have patient deep breath 11. A client who has asthma is admitted to the hospital in acute respiratory distress. Which of these assessments findings should require priority intervention by the nurse? - ABG: pH 7.32, PaCO2 55 mm Hg, PaO2 60 mm Hg 12. A client with an acute exacerbation of COPD has the following ABG analysis: pH 7.32, PaO2 58 mm Hg, PaCO2 55 mm Hg, HCO3 23 mEq/L, and SaO2 86%. The nurse knows that this client has - Respiratory Acidosis 13. SIMV is set at 4 and the patient is breathing 4 breaths over the vent - The patient would be respiratory acidosis 14. What would be the correct interpretation of the following blood gas results? PH 7.22, PaCo2- 64, HCO3 24 - Respiratory Acidosis