the nurse just received an arterial blood gas (abg) report that shows a borderline high pco2 on a client who had chest surgery. what should be the priority nursing intervention?

Respuesta :

Have client use the incentive spirometer should be the priority nursing intervention

What is chest surgery ?

The pCO2 is elevated and this client had chest surgery. Hypoventilation Yes, it is likely that the client is in pain as a result of the incision and is reluctant to breathe deeply. The client needs to turn, cough, and take deep breaths in order to expel the extra CO2. To help the client with this effort, incentive spirometry can be made available.

Only a short time will rapid breathing be effective. The issue is that the client needs to breathe more deeply to move more CO2 out of the lungs and more oxygen into the tissue. Respiratory alkalosis can be caused by hyperventilating.

End the sedation now! Client is not breathing deeply enough. It would be ok to walk. This client needs to inhale deeply.

No, we want the customer to exhale the CO2. Bircarb won't fix the issue, it will merely temporarily make the pH happy. Fix the issue because shallow respirations are the problem.

Learn more about Chest surgery here:

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