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    Rn Comprehensive predictor 2023 proctored exam
    Select All That Apply

    A nurse in an emergency department is caring for a client. Exhibits Select the 4 findings the nurse should report to the provider.

    Explanation & Rationale

    A. ABG results: pH 7.32 (acidosis), HCO₃⁻ 18 mEq/L (low), PaO₂ 68 mm Hg, SaO₂ 90%. Indicates metabolic acidosis with hypoxemia. This is a significant abnormality needing prompt attention. B. Amylase results: Elevated amylase is a hallmark of acute pancreatitis and confirms the suspected diagnosis. C. Temperature: Fever with pancreatitis can signal systemic inflammatory response or infection, requires provider notification. D. Hematocrit level: 42%, within the normal range (female 38–47%, male 42–52%). E. Pain report: Severe abdominal pain 8/10, persistent >24 hours. Pancreatitis pain requires provider management (often opioids, supportive care). F. Glucose level: 108 mg/dL is within normal limits (70–110). It is not concerning at this time.

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