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A nurse is caring for a client with arterial blood gas (ABG) results pH 7.21 pCO2 60,paO2 42 HCO3 22. Which medication should the nurse prepare to administer first?(a) Antiemetic(b) Hypoglycemic(c) Corticosteroid(d) Bronchodilator

Question

A nurse is caring for a client with arterial blood gas (ABG) results pH 7.21 pCO2 60,paO2 42 HCO3 22. Which medication should the nurse prepare to administer first?(a) Antiemetic(b) Hypoglycemic(c) Corticosteroid(d) Bronchodilator

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Solution

The ABG results show that the patient is experiencing respiratory acidosis, which is characterized by a low pH (normal is 7.35-7.45), high pCO2 (normal is 35-45 mm Hg), and normal HCO3 (22-26 mEq/L). This condition is often caused by conditions that result in hypoventilation, such as chronic obstructive pulmonary disease (COPD), pneumonia, or drug overdose.

Given these results, the nurse should prepare to administer a bronchodilator first. Bronchodilators work by relaxing the muscles of the airways, increasing airflow and improving breathing. This would help to correct the patient's respiratory acidosis by reducing the pCO2 levels and raising the pH.

Therefore, the correct answer is (d) Bronchodilator.

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