MDC 4 Exam 2
The patient is a 54-year-old male with history of COPD, who was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough with yellow- green sputum. Measure
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MDC 4 Exam 2
The patient is a 54-year-old male with history of COPD, who was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough with yellow- green sputum. Measurement of arterial blood gas shows pH 7.3, PaCO2 68 mmHg, HCO3 28 mmol/L, and PaO2 60 mmHg. How would you interpret this?
- Respiratory acidosis, partially compensated
Silver sulfadiazine (Silvadene, Thermazene)
- Watch for allergic reaction causing a drop in white blood cell count.
- Do not use if reaction to sulfonamide has occurred.
- Use on deep partial-thickness or full-thickness wounds.
- Monitor wounds for infection
A client with a 3-day history of nausea and vomiting presents to the emergency department. The client is hypoventilating and has a respiratory rate of 10 breaths/min. Arterial blood gases are drawn and the nurse reviews the results, expecting to note which of the following?
- An increased pH with an increased HCO3
A nurse is caring for a client with diabetic ketoacidosis and documents that the client is experiencing Kussmaul's respirations. Based on this documentation, which of the following did the nurse observe?
- Respirations that are labored and increased in depth and rate
A nurse is caring for a client who has a tracheostomy and is receiving mechanical ventilation. When the low-pressure alarm on the ventilator sounds, it indicates which of the following to the nurse?
CONTINUED...........
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