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The Nurse Is Providing Care for an Individual Admitted with an Acute

Question 15

Multiple Choice

The nurse is providing care for an individual admitted with an acute asthma attack.Arterial blood gas (ABG) results indicate pH = 7.33; CO2 = 49; HCO3 = 26; and oxygen saturation is 87%.After initiating treatment with IV fluids, bronchodilators, and oxygen therapy at 4 L via nasal cannula (NC) , the client's repeat ABG results are pH = 7.35; CO2 = 47; HCO3 = 26; and oxygen saturation is 89%.Which action should the nurse take next?


A) Prepare to transfer the client to the intensive care unit (ICU) .
B) Document the findings in the client's medical record.
C) Inform the family of the client's worsening condition.
D) Assess the function of the client's oxygen delivery system.

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