Exam 18: Analysis and Monitoring of Gas Exchange

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Which of the following are TRUE about a blood gas analyzer's waste fluids? I.A strong disinfectant should be added to waste fluid containers. II.Waste fluids should be handled as if they were blood samples. III.Waste fluids should be treated as potentially infectious.

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During capnography monitoring of a mechanically ventilated patient, you note that the PETCO2 has dropped to 0 mm Hg. All of the following are possible causes of this finding except:

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When performing a modified Allen test on the left hand of a patient, you notice that the palm, fingers, and thumb remain blanched for more than 15 seconds after pressure on the ulnar artery is released. What should you do?

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What is a normal end-tidal PETCO2 range?

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To assess gas exchange at the tissues, you would obtain a blood sample from which of the following?

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What size needle would you recommend to obtain an ABG sample through percutaneous puncture of an infant?

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What media are used to calibrate a blood gas analyzer's gas electrodes?

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All of the following are grounds for finding an alternative site for arterial puncture except:

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An alert outpatient awaiting bronchoscopy has an SpO2 reading of 81% breathing room air. The patient appears in no distress and exhibits no signs of hypoxemia. Which of the following would be the best initial action to take in this situation?

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You must immediately begin monitoring the oxygenation status of an infant admitted to the emergency department in severe respiratory distress. Which of the following approaches would you select?

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A PaO2 below what value would be considered severe hypoxemia?

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How does the Clark polarographic O2 electrode function?

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What chart information should be checked before performing artery puncture? I.patient's primary diagnosis and history II.presence of bleeding disorders or blood-borne infections III.anticoagulant or thrombolytic drug prescriptions IV.respiratory care orders (e.g., O2 therapy)

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When analyzing a blood gas control sample, you notice that the result falls outside the 2 SD range. How could you verify that this was a random error (error of imprecision)? I.Repeat the analysis on a different analyzer. II.Compare the control to an actual patient sample. III.Rerun the control sample a second time.

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An outpatient scheduled for an arterial blood sample enters the pulmonary lab 20 minutes late and out of breath, having run up four flights of stairs. What should you do?

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Precautions and/or possible complications of arterial puncture include which of the following? I.arteriospasm II.embolization III.infection IV.hemorrhage

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Capillary puncture should NOT be performed at or through what location? I.inflamed or edematous tissue II.localized areas of infection III.the fingers of neonates IV.previous puncture sites

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All of the following are advantages of mainstream capnometry except:

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A mixed venous blood sample obtained from a pulmonary artery catheter sample has a PO2 of 85 mm Hg and a hemoglobin saturation of 95%. Which of the following is likely? I.The pulmonary artery catheter balloon was not deflated. II.The sample was drawn from the proximal, not distal port. III.The blood sample was withdrawn too quickly.

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While analyzing a blood gas control sample, you notice a trending of several PCO2 values above the 2 SD range over the last six control samples run. What corrective action would you consider at this time? I.Check the function of the PCO2 electrode. II.Rerun the control sample a second time. III.Repair or replace any failed components.

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