Question

Questions 1-3 refer to the following: A patient in the hospital is recovering from hip surgery She begins to complain of chest pain and dyspnea. Her RR is 30 1. A lung scan is performed and the V/Q ratio is reported to the nurse as "high." This patient likely suffered a(n) has most MI. а. pulmonary embolus. atelectasis d. b. c. episode of pulmonary edema. 2. Arterial blood gases (ABGS) are drawn. The results are: pH: 7.50; PO2: 100; PCO2: 29; altered state is called HCO3: 26. This respiratory acidosis metabolic acidosis a. b. respiratory alkalosis. metabolic alkalosis C. d. 3. What mechanism is likely causing the disturbance noted in question #2? Hypoventilation Hyperventilation Hemoptysis Orthopnea. a. b. c. d.

Answer 1

1. Answer ; B). pulmonary embolus.
Rationale ; In this case the patient had undergone hip Surgery and he is in the recovering stage, At that time this
patient is experiencing the Chest pain and problem in breathing. The reason that he may had this problem would be
any chance of developing thrombus over the operated place and it may cause variant in V/Q ratio. So he is most likely
suspected that he may encountered the above mentioned condition.

2. Answer ; C) Respiratory alkalosis
Rationale ; Here the patient pH value is slightly decreased so it would be considered as alkalosis, then his bicarbonate
level is hugely and his pCO2 level is within the normal level, It would be seen only on above mentioned condition.

3. Answer ; B) hyperventilation.
Rationale ; In this case the patient carbon dioxide level is decreased in huge amount, This could happen when he
experience rapid breathing pattern and this would be termed as the Hyper in ventilation.