You
What condition could cause this ABG Result? PH 7.30, PaC02 50, HC03 24
A. COPD
B. Panic Attack
C. Renal Failure
D. Vomiting
A. COPD
Uncompensated respiratory acidosis, COPD leads to C02 retention
Your patient has a PH of 7.22, PaC02 65, and HC03 26
What do you suspect they have?
A. COPD
B. Metabolic Acidosis
C. Hypokalemia
D. Vomiting
A. COPD
Respiratory Acidosis due to chronic C02 retention
A. 0.45% normal saline
B. 09% Normal saline
C. Lactated Ringers
D. 5% dextrose in 0.9% saline
A. 0.45% normal saline
When is a micro drip set used for?
A. For large-volume resuscitation
B. For Blood products
C. For Pediatrics patient
D. For emergency boluses
C. For Pediatrics patient
It's used for small volume, common in pediatrics
What tubing is used for blood products?
Y tubing one side for blood the other for 0.9 % normal saline
PH 7.48, PaC02 30, and HC03 23
What condition might the patient be experiencing?
A. Hyperventilation
B. Chronic Kidney disease
C. Sepsis
D. Opioid Overdose.
A- Hyperventilation
You would see this in your patient with anxiety or hyperventilation
Your patient has an ABG of P.H 7.60, PaC02 25, HC03 25 This could be seen in what Condition?
A. Anxiety attack
B. Renal Failure
C. Sepsis
D. Overdose of Morphine
A. Anxiety attack
Respiratory Alkalosis
Which action is incorrect when initiating IV therapy
A. Use expire IV bag
B. Maintain aseptic technique
C. Check for allergies
D. Use correct tubing set
A. Use expire IV bag
What is the name of the only isotonic solution that can be hung with blood?
0.9% normal saline
What must you check before going into the patient's room?
Molda
Your patient PH is 7.25, PaC02 38, and HC03 18 what do you suspect your patient is experiencing?
A. Diabetic Ketoacidosis
B. Asthma
C. Pneumonia
D. Hypoventilation
A. Diabetic Ketoacidosis
Your patient would have Kussmaul Respirations
Solve this ABG
PH 7.45
PaC02 40
HC03 26
Normal
What gauge is commonly used for blood transfusions?
A. 18 gauge
B. 25 gauge
C. 30 gauge
D. 46 gauge
A. 18 gauge
What IV solution is used for treatment of ICP?
Mannitol
3% Normal Saline
You want to talk to the doctor about a change in the patient's condition. How would you communicate with the provider?
Use your SBAR
Your patient ABG is 7.52, PaC02 40, and HC03 32 (Metabolic Alkalosis) what do you suspect your patient is experiencing?
A. Excessive vomiting
B. Chronic Diarrhea
C. Renal Failure
D. Acute Respiratory disease syndrome (ARDS)
A. Excessive vomiting
Due to the stomach losing all the stomach acid from vomiting.
Pick what best describes this ABG: PH 7.58, PaC02 28, HC035
A. Overuse of antacids
B. Sepsis
C. Lactic acidosis
D. Opioid overdose
A. Overuse of antacids
due to overuse of antacids causes an increase HC03 excess
What is the purpose of an infusion pump?
A. To monitor BP
B. To regulate flow accurately
C. TO insert the IV
D. To diagnose infection
B. To regulate flow accurately
You work on the med surg unit, and they have a buddy system. RN and LPN team members. Your RN ask you to be the second verifier on a blood product he must hang. You matched everything (cross screen and match) 5 minutes into the transfusion the patient complains of back pain. The RN ignores the patient's complaint and states I will give you something for pain in 10 minutes. As the second nurse present in the room what is the first thing you would recommend the RN to do?
STOP THE INFUSION!!!!!!
Signs and symptoms of adverse infusion reaction is complaints of feeling funny, chills, back pain, itching, or shortness of breath.
you can tell the RN that you feel the patient is having a reaction to the IV blood product. REMEMBER your role as a nurse is to advocate for the patient. Think Safety!!!!
The patient refused to go to surgery after signing the consent what would you do as the nurse?
Bring the patient back to the room. Notify the provider and ask the patient if they can tell you, their concerns.
A. Respiratory Failure
B. Hyperventilation
C. Fever
D. Diarrhea
A. Respiratory Failure
Your patient can also have this ABG is they have hypoventilation or respiratory failure.
Which patient condition fits this profile
ABG PH 7.30, PaC02 30, HC03 16
A. Diarrhea
B. Vomiting
C. Pneumothorax
D. Sedative overdose
A. Diarrhea
Diarrhea causes bicarbonate loss
What is the common sign of Speed Shock?
A. Dizziness
B. Bradycardia
C. Fever
D. Tachypnea
A. Dizziness
other s/sx of speed shock are h/a, flushing, hypotension, and arrhythmias
In your book under skill 37.6n on page 755 it states blood must be infused within _________ hours of release from the blood bank
4 hours
As long as your participated in this in class quiz for ABG's and Chapter 37 terms you would get a?
100