Sixty Minutes After a Patient Is Extubated,an Arterial Blood Gas

question 14

Multiple Choice

Sixty minutes after a patient is extubated,an arterial blood gas sample is drawn;the results are: pH = 7.20,PaCO₂ = 60 mm Hg,PaO₂ = 55 mm Hg,SaO₂ = 80%,HCO₃^- = 23 mEq/L with a 2 L/min nasal cannula.The patient is SOB and complaining of chest pain.His blood pressure is 92/50 mm Hg.The most likely cause of this weaning failure is which of the following?

• A) Chronic obstructive pulmonary disease
• B) Acute left ventricular failure
• C) Ventilatory muscle weakness
• D) Hypophosphatemia

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Definitions:

Insecure Attachment

describes a type of attachment style where individuals experience difficulty forming stable and trusting relationships due to early childhood experiences.

Spoiled

Describes an individual, often a child, who is overindulged or excessively catered to, leading to entitled behavior or poor social skills.

Attachment Theory

According to Bowlby, the infant and his primary caregiver(s) participate in an interactive system that has evolved to keep the infant safe and ensure survival. As the infant changes cognitively and emotionally, an affectional bond with the caregiver emerges in stages, with a full-fledged attachment likely by about 7 or 8 months.

Helping Professionals

Individuals whose occupations are dedicated to assisting others improve their well-being, such as therapists, counselors, and social workers.