Jose is in danger of respiratory arrest following the administration of a narcotic analgesic. An arterial blood gas value is obtained. Nurse Oliver would expect the paco2 to be which of the following values?

Correct Answer: D

Rationale: The correct answer is D (80 mm Hg). Respiratory arrest leads to inadequate ventilation, causing carbon dioxide (CO2) retention. A high PaCO2 level indicates respiratory acidosis, which is a common consequence of respiratory arrest. In this scenario, the administration of a narcotic analgesic can depress the respiratory drive, leading to hypoventilation and subsequent respiratory acidosis. Choices A, B, and C are incorrect because they represent lower PaCO2 levels, which would not be expected in a patient at risk of respiratory arrest.

Correct Answer: A

Rationale: The correct answer is A because it directly addresses the issue of abuse by asking if the wife and child are being threatened or hurt by the partner. This question is clear, specific, and focuses on the potential abuse situation. It allows the nurse to gather crucial information to assess the safety of the family. Choice B is not as effective because it only asks if the wife is frightened, which may not necessarily reveal if abuse is present. Choice C is too vague and open-ended, not directly addressing the suspected abuse. Choice D focuses on arguments, which may not uncover the extent of abuse occurring in the household. Therefore, A is the most appropriate question in this situation.

Correct Answer: A

Rationale: The correct answer is A because it acknowledges the client's pain while also addressing the fact that test results are negative, validating their experience. This response shows empathy and understanding. B is incorrect as it dismisses the client's pain, potentially causing them to feel unheard. C is incorrect as it suggests avoiding the issue rather than addressing it. D is not the best response as it does not acknowledge the negative test results, which may confuse the client.

Correct Answer: D

Rationale: The correct answer is D because rearranging the environment to activate the child is not a recommended therapeutic approach for caring for an autistic child. Autistic children may struggle with changes in their environment, so rearranging it could lead to increased stress and anxiety, rather than therapeutic benefits. A: Engaging in diversionary activities when acting-out can help redirect behavior and provide a positive outlet for emotions. B: Providing an atmosphere of acceptance fosters a sense of security and belonging for the child. C: Providing safety measures is crucial to ensure the well-being of the child and prevent any harm. In summary, D is incorrect as it could potentially disrupt the child's sense of stability, while A, B, and C are all important aspects of the therapeutic approach in caring for an autistic child.

Correct Answer: C

Rationale: The correct answer is C: Remains in a safe and secure environment. This is the primary nursing intervention because clients with moderate stage dementia may have impaired judgment and memory, making them vulnerable to accidents or wandering. Keeping them in a safe and secure environment helps prevent injuries or getting lost. Choice A is important but not the primary intervention as safety comes first. Choice B, reminiscing, is beneficial for cognitive stimulation but not a priority for safety. Choice D, self-care, may be challenging for clients with dementia, so ensuring safety takes precedence.