SOLVED733

Kathleen Watson, a 57-year old female patient had right lung biopsy yesterday to rule out cancer. During her surgery, complications occurred with some hemorrhaging. She is now stable post-op. She currently has oxygen at 2 L via nasal cannula. She has an IV of normal saline running at 75 ml/hr. Ms. Watson complains of pain 4/10 at this time. Her vital signs are: BP 128/74, HR 78, RR, 18, T 98.6, pulse ox 96% Upon returning to Ms. Watson’s room, the nurse notices that Ms. Watson appears to be breathing at a faster rate than earlier. The nurse decides to take vital signs again with the following results: BP 130/84, HR 88, RR 24, T 98.9, pulse ox 90%. After reporting concerns to the physician, the following tests are ordered. Match the test with the rationale. A. ABGs _____ 1. Determines the percentage of hemoglobin saturated with oxygen B. chest x-ray _____ 2. Evaluates the respiratory and metabolic acid-base balance C. continuous pulse ox monitoring _____ 3. Evaluates the pulmonary system, specifically the lungs Results of the chest xray show fluid infiltration in both lung bases. The ABG results are pH 7.28, PaCO2 50, HCO3 23. Interpret the ABG. Ms.
SCIENCE
HEALTH SCIENCE
NURSING

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