The nurse in the intensive care unit receives arterial blood gases (ABG) with a patient who is complaining of being “short of breath.” The ABG has the following values: pH = 7.21, PaCO2 = 64 mm Hg, HCO3 = 24 mm Hg. The labs reflect:

A patient is admitted to the emergency department with a stab wound to the right chest. Air can be heard entering his chest with each inspiration. To decrease the possibility of a tension pneumothorax in the patient, the nurse should

A patient is injured in a motor-vehicle crash and is transported to the emergency department. The healthcare provider determines the need for an immediate thoracotomy and chest tube insertion and anticipates the need for maximal suction pressure. The appropriate type of closed-chest drainage system for this patient is a

A nurse is caring for a patient who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. How will the nurse ensure the chest tube drainage systems works properly during transport?

A patient’s ventilator settings were changed as follows: tidal volume was decreased from 500 ml to 450 ml and rate was decreased from 16 breaths to 14 breaths per minute. What ABG change would the nurse anticipate?

A patient presents to the emergency department demonstrating agitation and complaining of numbness and tingling in his fingers. His arterial blood gas levels reveal the following: pH 7.51, PaCO2 25, HCO3 25. The nurse interprets these blood gas values as:

When the ventilator alarm sounds, the nurse finds the patient lying in bed holding the endotracheal tube (ET). The first intervention by the nurse is to

A client who has been hospitalized for treatment of a pneumothorax is ready for discharge. Which outcomes indicate that the client has adequate respiratory function? Select all that apply.

A patient has coronary artery bypass graft surgery and is transported to the surgical intensive care unit at noon and is placed on mechanical ventilation. Interpret the initial arterial blood gas levels pH: 7.31PaCO2: 48 mm Hg(HCO3) Bicarbonate: 22 mEq/LPaO2: 115 mm HgO2 saturation: 99%

The patient has the following ABG results: pH 7.30, PaO2 50, Co2 45, HcO3 22. What ventilator change would the nurse anticipate?