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    Hesi rn exit proctored examQuestion 60
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    Hesi rn exit proctored exam

    Client data Complete the table by matching each client data to the appropriate goal of care

    Explanation & Rationale

    Support Ventilation: PaCO₂ 42 mm Hg: This value falls within the normal range of 35–45 mm Hg, indicating adequate ventilation and effective CO₂ removal. It supports that the client's ventilator settings are maintaining proper respiratory function. pH 7.40: A normal arterial blood pH indicates stable acid-base status, suggesting that respiratory and metabolic functions are balanced. This reflects effective ventilatory support and tissue perfusion. Prevent Infection: Surgical dressing dry and intact: A dry, intact dressing helps maintain a sterile barrier over the surgical site, reducing the risk of contamination. It indicates no active bleeding or signs of surgical wound infection. Temperature 98.1°F: A normothermic reading helps support immune function and prevent infection. In trauma care, avoiding hypothermia is also important in preventing coagulopathy and sepsis. Manage Hypovolemia: Blood pressure 112/77 mm Hg: This blood pressure is within a normal range, showing stable perfusion and likely adequate volume status after earlier hypotension. It indicates a positive response to fluid management. Capillary refill 2 seconds: A refill time under 2–3 seconds indicates good peripheral perfusion and supports adequate intravascular volume. It is a quick, non-invasive indicator of circulatory status. Control Pain and Anxiety: Pain 0 on a scale of 0 to 10: A pain score of 0 indicates successful pain control, which helps prevent agitation, reduces metabolic demand, and supports healing. Adequate pain management also minimizes stress response.

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