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    HESI RN Exit VI Proctored Exam

    A client receiving mechanical ventilation has a pH of 7.26, PaCO2 of 68 mm Hg, and a PaO2 of 92 mm Hg. Which intervention should the nurse implement?Reference Range:Arterial Blood Gas (ABG)pH [Adult/child: 7.35 to 7.45)PaCO2 (Adult/child: 35 to 45 mm Hg)HCO (Adult/child: 21 to 28 mEq/L (21 to 28 mmol/L)]PaO2 [Adult/child: 80 to 100 mm Hg]

    Explanation & Rationale

    A. Decreasing expiratory pressure might not directly address the elevated PaCO2 and low pH.B. Increasing tidal volume may help, but it’s more critical to address the ventilation rate first.C. Increasing the rate of ventilation will help blow off more CO2, correcting the respiratory acidosis (elevated PaCO2 and low pH).D. Decreasing expiratory flow time is less relevant than adjusting ventilation rates in this scenario.

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