Question

You enter the client's room and collect the following data: Respirations labored rate 30 breaths/min Continuous pulse oximetry: 88% to 89 % Sitting in chair at the bedside Anxious and says, "I'm having trouble catching my breath. Lung sound decreased at bases, persistent fine crackles What action do you need to take next? Underline you answer and add the rationale. Help the client back to bed. Increase the oxygen flow rate to 6L/m. Administer the PRN morphine IV Complete the physical assessment. The arterial blood gas (ABG)analysis is completed and the results are sent to you: PaCO2 30 mmHg 54 mmHg PaO2 02 saturation 88 % HCO3 20 mEq/L pH 7.34 What action do you take based on the ABG results? Underline your answer and add your rationale. Apply a nonrebreather mask at 15 L/min. Slow respiration rate with controlled breathing technique. Continue the nasal cannula at 6L/min, instruct to cough and deep breath. Collaborate with provider for prescription for sodium bicarbonate 50mEq IV.

Answer 1

You enter the client's room and collect the following data: Sitting in chair at the bedside Anxious and says, "I'm having trouble catching my breath. Respirations labored rate 30 breaths/min Continuous pulse oximetry: 88% to 89 % Lung sound decreased at bases, persistent fine crackles What action do you need to take next? Underline you answer and add the rationale. The low oxygen saturation revealed through pulse oximetry, the high rate of respiration, and the patient's inability to catch the breath suggest that the patient is having severe hypoxia. So, the oxygen flow must be increased immediately Help the client back to bed. . Increase the oxygen flow rate to 6L/m. Administer the PRN morphine IV. Complete the physical assessment. . The arterial blood gas (ABG)analysis is completed and the results are sent to you: PaCO2 30 mmHg HCO3 20 mEq/L 54 mmHg PaO2 02 saturation 88 % pH 7.34 What action do you take based on the ABG results? Underline your answer and add your rationale. Apply a nonrebreather mask at 15 L/min. Slow respiration rate with controlled breathing technique. Continue the nasal cannula at 6L/min, instruct to cough and deep breath. Collaborate with provider for prescription for sodium bicarbonate 50mEq IV. The low bicarbonate level (normal: 22 32 meq/L), low carbon dioxide levels (32 -48 mm Hg), low pH (normal: 7.35-7.45), and low oxygen saturation (normal: > 95%) suggest that the patient should be applied saturation nonrebreather mask at 15L/min to increase the oxygen a