Are my answers correct?

Jolie, BSN · Sep 14, 2007

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.

Daytonite, BSN, RN · Sep 14, 2007

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.

bullcityrn · Sep 15, 2007

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!

yadis572002 · Sep 15, 2007

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

yadis572002 · Sep 15, 2007

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

vashtee, RN · Sep 15, 2007

I'd go with hemorrhage on the second question.

loricatus · Sep 15, 2007

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.

marshgreencohen · Sep 15, 2007

safety first

Daye · Sep 15, 2007

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.

hemorrhage is the most important assessment post surgical i would have to say it supercedes pain

jtjames · Sep 15, 2007

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

EricJRN, MSN, RN · Sep 15, 2007

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