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Respiratory ABG
Metabolic ABG
Na Noggin
Kalemia
Fluids
100
This condition occurs when pH is less than 7.35
What is Acidosis
100
This condition occurs when pH is greater than 7.45
What is alkalosis
100
Normal sodium level
What is 135 to 145 mEq/ L
100
Normal potassium level
What is 3.5 to 5.0 mEq/ L
100
Which of the following is an isotonic solution: a. 0.9% NS b. 0.45% NS c. 3% NS
What is a. 0.9% NS
200
What controls the breathing mechanism
What is Respiratory center in medulla
200
The compensatory breathing mechanism for metabolic acidosis
What is Kussmaul breathing
200
Implementation of nursing care for the patient with hyponatremia includes: a. fluid restriction b. administration of hypotonic fluids c. administration of a cation-exchange resin. d. increased water intake for patients on nasogastric suction.
What is a. fluid restriction.
200
Hyperkalemia can be triggered by which of the following conditions: a. Diabetes ketoacidosis b. congestive heart failure c. diabetes insipidus d. thyriodectomy
What is a. diabetes ketoacidosis
200
The nurse is preparing to transfuse a patient with a unit of packed red blood cells (PRBCs). Which intravenous solution should be used along with the PRBC transfusion? a. 5% dextrose in water (D5W) b. 0.9% sodium chloride (NS) c. 5% dextrose in 0.9% sodium chloride (D5NS) d. 5% dextrose in lactated Ringer's (D5LR)
What is b. 0.9% sodium chloride
300
True or false: using the ROME method, in respiratory conditions the pH and the PaCO2 go in opposite directions.
What is true
300
What imbalance is this? pH 7.18 PaCO2 38 mm Hg PaO2 70 mm Hg HCO3– 15 mEq/L
What is metabolic acidosis
300
True or false: Symptoms of hyponatremia are related to cellular swelling and are first manifested in the central nervous system.
What is True
300
When monitoring a patient for signs of hypokalemia, the nurse looks for what early sign? a. Seizures b. Cardiac dysrhythmias c. stomach cramps d. muscle weakness
What is d. muscle weakness
300
When assessing a patient with increased extracellular fluid (ECF) osmolality, the priority assessment for the nurse to obtain is a. skin turgor b. heart sounds c. mental status d. capillary refill
What is c. mental status
400
A patient who has required prolonged mechanical ventilation has the following arterial blood gas results: pH: 7.48 PaO2: 85 PaCO2: 32 HCO3: 25 The nurse interprets this as what
What is respiratory alkalosis
400
A patient has the following ABG results: pH 7.48, PaO2 ?86 mm Hg, PaCO2 44 mm Hg, HCO3 29 mEq/L. When assessing the patient, the nurse would expect the patient to have a. Muscle cramping b. Warm, flushed skin c. Respiratory rate of 36 d. Blood pressure of 94/52
What is a. muscle cramping
400
A patient at risk for hypernatremia is one who a. has a deficiency of aldosterone b. has prolonged vomiting and diarrhea c. receives excessive 5% dextrose solution intravenously d. has impaired consciousness and decreased thirst sensitivity
What is d. has an impaired consciousness and decreased thirst sensitivity
400
What EKG changes indicate that a nurse needs to access K level?
What is peaked T waves
400
A patient is receiving 3% NaCl solution for correction of hyponatremia. During administration of the solution, the most important assessment for the nurse to monitor is a. lung sounds b. urinary output c. peripheral pulses d. peripheral edema
What is a. lung sounds
500
Identify the acid-base imbalances represented by the following laboratory values: pH: 7.50 PaCo2: 30 mm Hg HCO3-: 24 mEq/L
What is respiratory alkalosis
500
Identify the acid-base imbalances represented by the following laboratory values: pH: 7.2 PaCo2: 25 mm Hg HCO3-: 15 mEq/L
What is metabolic acidosis
500
When caring for a patient admitted with hyponatremia, which actions will the nurse anticipate taking? a. Restrict patient's oral free water intake b. Avoid use of electrolyte-containing drinks. c. Infuse a solution of 5% dextrose in 0.45% saline. d. Administer vasopression (antidiuretic hormone [ADH])
What is a. restrict patient's oral free water intake.
500
A patient is taking a potassium-wasting diuretic for treatment of hypertension. The nurse will teach the patient to report symptoms of adverse effects such as: a. personality changes b. frequent loose stools c. facial muscle spasms d. generalized weakness
What is d. generalized weakness
500
A patient receiving isoosmolar continuous tube feeding develops restlessness, agitation, and weakness. Which laboratory result is most important to report to the health care provider? a. K 3.4 b. Ca 7.8 c. Na 154 d. PO4: 4.8
what is c. Na 154