A patient is about to have their chest tube removed by the physician. As the nurse assisting with the removal, which of the following actions will you perform? Select-all-that-apply:
A. Educate the patient how to take a deep breath out and inhale rapidly while the tube in being removed.
B. Gather supplies needed which will include petroleum gauze dressing per physician preference.
C. Place the patient in Semi-Fowler's position.
D. Have the patient take a deep breath, exhale, and bear down during removal of the tube.
E. Pre-medicate prior to removal as ordered by the physician.
F. Place the patient is prone position after removal.
A patient is about to have their chest tube removed by the physician. As the nurse assisting with the removal, which of the following actions will you perform? Select-all-that-apply:
A. Educate the patient how to take a deep breath out and inhale rapidly while the tube in being removed.
B. Gather supplies needed which will include a petroleum gauze dressing per physician preference.
C. Place the patient in Semi-Fowler's position.
D. Have the patient take a deep breath, exhale, and bear down during removal of the tube.
E. Pre-medicate prior to removal as ordered by the physician.
F. Place the patient is prone position after removal.
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In the patient with acute respiratory failure, the nurse interprets which set of arterial blood gases as respiratory acidosis with hypoxemia?
Select one:
a. pH 7.47, PaCO2 30 mm Hg, HCO3- 32 mEq/L, PaO2 75 mm Hg
b. pH 7.37, PaCO2 42 mm Hg, HCO3- 24 mEq/L, PaO2 82 mm Hg
c. pH 7.30, PaCO2 55 mm Hg, HCO3- 22 mEq/L, PaO2 66 mm Hg
d. pH 7.32, PaCO2 48 mm Hg, HCO3- 22 mEq/L, PaO2 88 mm Hg
In the
early stages of ARDS, your patient may exhibit which of the following ABG results:
Select one:
a. pH 7.32, PCO2 50, HCO3 23, PaO2 52
b. pH 7.48, PCO2 55, HCO3 24, PaO2 42
c. pH 7.50, PCO2 25, HCO3 22, PaO2 52
d. pH 7.38, pCO2 55, HCO3 24, PaO2 82
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