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The Nurse Is Caring for a Client Who Is Receiving

Question 4

Multiple Choice

The nurse is caring for a client who is receiving mechanical ventilation accompanied by positive end-expiratory pressure (PEEP) .What assessment findings require immediate intervention?


A) Blood pressure drop from 110/90 mm Hg to 80/50 mm/Hg
B) Pulse oximetry value of 96%
C) Arterial blood gas (ABG) : pH, 7.40; PaO2, 80 mm Hg; PaCO2, 45 mm Hg; HCO3-, 26 mEq/L
D) Urinary output of 30 mL/hr

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