Are my answers correct?

  1. Please let me know if I have the correct answer to the following questions:
    1.- the physician orders and ABG for a pt, receiving O2 at 6L/min per simple mask. Results show: PH=7.37, PCO2=42, HCO3=26, PO2=90. What should the nurse do first?
    a) Increased the amount of oxygen that the patient is receiving.
    b) elevate the head of the bed
    c) document the results in the chart............MY ANSWER
    d) instruct the patient to cough and deep breathe.

    2.- which of the following would most concern the nurse during a patient's recovery from surgery?
    a) safety
    b)hemorrhage
    c)infection
    d)pain control......MY ANSWER

    thank you so much
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  2. 13 Comments

  3. by   Jolie
    I would choose (a) safety for the second question. All are important, but according to Maslow, I believe safety would surpass the other needs in terms of priority.
  4. by   Daytonite
    Quote from yadis572002
    the physician orders an abg for a pt, receiving o2 at 6l/min per simple mask. results show: ph=7.37, pco2=42, hco3=26, po2=90. what should the nurse do first?
    a) increased the amount of oxygen that the patient is receiving.
    b) elevate the head of the bed
    c) document the results in the chart............my answer
    d) instruct the patient to cough and deep breathe.
    always read the question carefully. the op is correct. the correct answer is c - document the results in the chart. the doctor ordered a test and you get the results back. the results are, in essence, normal. why would you increase the flow rate of oxygen? or elevate the hob? or instruct the patient to cough and deep breath? there is no other information there to support any of those nursing interventions.
    which of the following would most concern the nurse during a patient's recovery from surgery?
    a) safety
    b)hemorrhage
    c)infection
    d)pain control......my answer
    according to maslow, physiological needs come first with oxygenation at the top of the list. comfort (which includes pain control) is also a physiological need. i'm not real sure on this one because many people interpret maslow's physiological needs a little differently. i keep hearing about many nursing instructors putting pain needs over a few other things. i, personally would say hemorrhage would be my first concern. that's why we keep checking the surgical dressing and watching the patient's vital signs for evidence of shock related to hemorrhage. so, i'm split on this. i want to say the answer is b - hemorrhage, but i'm a little worried that your instructors are going for d - pain control.
  5. by   bullcityrn
    Quote from Daytonite
    I, personally would say hemorrhage would be my first concern. That's why we keep checking the surgical dressing and watching the patient's vital signs for evidence of shock related to hemorrhage. So, I'm split on this. I want to say the answer is B - Hemorrhage, but I'm a little worried that your instructors are going for D - pain control.
    I agree with you, Daytonite...I'm inclined to go with B as well but think for some reason that the answer will end up being D.

    yadis572002, it would be great if you could post the answer when you find out what it is! :spin:
  6. by   yadis572002
    Thanks for responding Jolie. Safety was also emy first option but when I asked one of the nursing tutors at school she said I was wrong. That is why I wanted to have a second opinion.
    I appreciate it
  7. by   yadis572002
    Thanks for responding. My first option was safety but when I asked one of the nursing tutors at school she said that most important was pain management...Kinda tricky
  8. by   vashtee
    I'd go with hemorrhage on the second question.
  9. by   loricatus
    Quote from Daytonite
    Always read the question carefully. The OP is correct. The correct answer is C - document the results in the chart. The doctor ordered a test and you get the results back. The results are, in essence, normal. Why would you increase the flow rate of oxygen? Or elevate the HOB? Or instruct the patient to cough and deep breath? There is no other information there to support any of those nursing interventions.

    According to Maslow, physiological needs come FIRST with oxygenation at the top of the list. Comfort (which includes pain control) is also a physiological need. I'm not real sure on this one because many people interpret Maslow's physiological needs a little differently. I keep hearing about many nursing instructors putting pain needs over a few other things. I, personally would say hemorrhage would be my first concern. That's why we keep checking the surgical dressing and watching the patient's vital signs for evidence of shock related to hemorrhage. So, I'm split on this. I want to say the answer is B - Hemorrhage, but I'm a little worried that your instructors are going for D - pain control.
    I agree with you. But, on the second question SURGERY sticks out to me like a sore thumb-so, hemorrhage would be more appropriate an answer since it still is the realm of ABCs for the initial recovery period. The OP might be able to figure out whether the instructor is going for a pain control answer by the emphasis placed on it in lecture.
  10. by   marshgreencohen
    safety first
  11. by   Daye
    Quote from daytonite
    i, personally would say hemorrhage would be my first concern. that's why we keep checking the surgical dressing and watching the patient's vital signs for evidence of shock related to hemorrhage. so, i'm split on this. i want to say the answer is b - hemorrhage, but i'm a little worried that your instructors are going for d - pain control.
    [font="comic sans ms"]hemorrhage is the most important assessment post surgical i would have to say it supercedes pain
  12. by   jtjames
    Quote from yadis572002
    Please let me know if I have the correct answer to the following questions:
    1.- the physician orders and ABG for a pt, receiving O2 at 6L/min per simple mask. Results show: PH=7.37, PCO2=42, HCO3=26, PO2=90. What should the nurse do first?
    a) Increased the amount of oxygen that the patient is receiving.
    b) elevate the head of the bed
    c) document the results in the chart............MY ANSWER
    d) instruct the patient to cough and deep breathe.

    2.- which of the following would most concern the nurse during a patient's recovery from surgery?
    a) safety
    b)hemorrhage
    c)infection
    d)pain control......MY ANSWER

    thank you so much
    ok i may be way off here but isn't the po2 level low it should be above 95 it's at 90 therefore i say HOB UP or cough and deep breathe
  13. by   EricJRN
    On an arterial gas, normal PO2 is 80-100 mmHg. This is a different value than the oxygen saturation.

    http://web.indstate.edu/mary/abgdemo.html
    Last edit by EricJRN on Sep 15, '07 : Reason: added link
  14. by   ambersnight
    Ummm hello, hemorrhage is the most important. I would rather be in pain (pain level or surgery was not specific) and hyperventilate than to HEMORRHAGE and lose consiousness or die. If your patient just had a coronary stent and the sheath site check was his right femoral vein, which was hemorrhaging and he complains of pain.... I hope nurses wont run for the percocet or morphine!!
    These type instructors are why im suddenly a bad test taker!!!!!!

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