The 56-year-old intubated and sedated patient’s arterial blood gas results are as follows: pH = 7.25, PCO2 = 36, PaO2 = 50, HCO3- = 15, SaO2 = 86%. Other lab values are notable for a hemoglobin of 7.9 mg/dL, albumin of 2.5 g/dL, sodium of 152 mEq/L, potassium of 2.1 mEq/L, chloride of 118 mEq/L. Vital signs are notable for a heart rate of 118 bpm, blood pressure of 86/38 mmHg, temperature of 102°F, and pulse oximetry of 85% on room air. The nurse advocates for which order?
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- Category: Reduction of Risk Potential
- Difficulty: 7
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The patient has a peritoneal dialysis catheter. The nurse notes the dressing is saturated and prepares to change it. Upon removing the dressing, the nurse notes a foul odor and purulent drainage around the site, which is red. Which action does the nurse take next?
- Question Type: Multiple Choice - Select One
- Difficulty: 7
The patient is receiving a transfusion of packed red blood cells. After 30 minutes, the patient complains of intense itching and flank pain. Upon assessment, the nurse notes a fever and tachycardia. Which of the following is the next best step in management?
- Question Type: Multiple Choice - Select One
- Difficulty: 3
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