ATI Advanced Med Surg Exam 3 | Nurselytic

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ATI Advanced Med Surg Exam 3 Questions

Extract:

Nurse's Notes
Client came to the ER for increase SOB worsening dyspnea and restlessness. Respiratory rate is currently 32/min with shallow breath BP 198/78 mm Hg. Oxygen has been increased from 2 L nasal cannula to 50% face mask with little improvement of oxygen saturation. Current oxygen saturation is 91% on 50% facemask. Arterial blood gases drawn and sent to lab.
Diagnostic Results
ABGS:
pH 7.25 (7.35 to 7.45)
pCO2 62 mm Hg (35 to 45 mm Hg)
HCO3-22 mEq/L (22 to 26 mEq/L)


Question 1 of 5

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Action to Take

Hyperglycemia
Seizure activity
Correct placement of the endotracheal tube (ETT)
Arterial blood gases
Calcium levels

Potential Condition

Start a 0.9% sodium chloride IV drip
Obtain a blood glucose level
Administer a bronchodilator
Administer sodium bicarbonate
Prepare the client

Parameter to Monitor

Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
Metabolic acidosis

Correct Answer:

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Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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