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    Ati med surg proctored exam (ICU)

    PH7.28 PaCO2 46 mm Hg Bicarbonate 22 mEq/L Pa 02 58 mm Hg 02 saturation 88% What interdisciplinary staff member does the nurse notify to assist in the care of this patient while preparing to carry out provider orders?

    Explanation & Rationale

    A. While repeat blood gases may eventually be required, the priority is correcting the patient’s hypoxemia and acid-base imbalance. Waiting for another blood draw without immediate intervention could worsen hypoxia and tissue perfusion. B. The ABG values indicate acidemia (pH 7.28), mild hypercapnia (PaCO₂ 46), and significant hypoxemia (PaO₂ 58, O₂ sat 88%). This patient is hypoxic and acidotic, likely requiring immediate ventilator adjustment or oxygen therapy. The respiratory therapist has the expertise to optimize ventilator settings or oxygen delivery, which is crucial for stabilizing the patient before further interventions. C. While family notification is important, it is not the immediate priority in the context of acute hypoxemia and acid-base imbalance. Patient stabilization takes precedence over social interventions. D. Repositioning may improve ventilation-perfusion matching, but it is insufficient to correct severe hypoxemia. Respiratory therapy intervention is required to ensure adequate oxygenation and ventilation.

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