Exam 18: Analysis and Monitoring of Gas Exchange

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Because of an extremely low PO2, you suspect that an arterial blood sample taken from a patient's brachial artery might have been contaminated with venous blood. Which of the following might help to confirm your suspicion?

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Which of the following is FALSE about the galvanic fuel cell O2 analyzer?

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When analyzing an ABG sample from a patient with acute respiratory distress syndrome and refractory hypoxemia, you notice a PaO2 of 141 mm Hg and a PaCO2 of 14 mm Hg. Which of the following analytic errors should you suspect?

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During continuous monitoring of an active 5-year-old patient with a finger pulse oximetry probe, you obtain frequent and repeated false low HbO2 alarms (less than 90%). Which of the following would be the best action to take in this situation?

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All of the following are indications for capnography except:

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Purposes of a needle-capping device include which of the following? I.to isolate the sample from air exposure II.to help prevent needlestick injuries III.to hold the excess anticoagulant

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What is the appropriate interval for changing the site for a transcutaneous blood gas monitor sensor?

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Factors contributing to bias (systematic) errors during blood gas analysis include all of the following except:

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All of the following conditions make interpreting the results of a modified Allen test difficult except:

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You determine that a blood gas sample that requires analysis has been sitting in an ice slush for 90 minutes. What should you do?

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What is the most common source of error and false alarms with pulse oximetry?

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For continuous monitoring of adults and children, you should set a pulse oximeter's low alarm in what range?

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What is a normal level for CaO2?

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When conducting ABG analysis in the laboratory, obvious signs of preanalytical error include all of the following except:

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Warming a capillary bed to 42° C has which of the following effects? I.It constricts the underlying blood vessels. II.It increases blood flow well above tissue needs. III.It "arterializes" the capillary blood.

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Which of the following is NOT a use of capnometry?

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Patient parameters that should be assessed as part of arterial blood sampling include all of the following except:

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In which of the following patients would transcutaneous blood gas monitoring most likely provide inaccurate or erroneous results?

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You are asked to provide continuous monitoring of the FIO2 provided by a humidified O2 delivery system using a galvanic cell analyzer. Where would you install the analyzer's sensor?

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All of the following sites are used for arterial blood sampling by percutaneous needle puncture except:

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