medium · NCLEX-RN Physiological Adaptation

The RN assesses Morgan, who has a pulmonary artery (PA) catheter. The S_vO_2 (mixed venous oxygen saturation) has dropped from 70% to 52% over the last hour. The client's HR is 118 and BP is 90/60.

What is the most likely pathophysiologic explanation?

  1. Oxygen delivery is failing to meet increased tissue oxygen demand
  2. Cardiac output has suddenly increased, causing rapid transit.
  3. The client is experiencing a shift toward alkalosis
  4. The PA catheter balloon has remained inflated spontaneously.

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