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Mark Klimek Yellow Book (KV) Latest
Quiz:> If the pH and the BiCarb are both in the same direction then it is?
{{{Answer}}} (Metabolic)
Quiz:> If the pH is up it is?
{{{Answer}}} (Alkalosis)
Quiz:> As the pH goes so goes my patient except for?
{{{Answer}}} (Potassium)
Quiz:> If the pH is down it is?
{{{Answer}}} (Acidosis)
Quiz:> If the pH is up my patient with show signs and symptoms of?
{{{Answer}}} (Increase... like tachycardia,diarrhea and borborygmi)
Quiz:> If the pH is down my patient will show signs and symtoms of?
{{{Answer}}} (Decrease... like decreased output, bradycardia and constipation)
Quiz:> If my pH is up my potassium (K+) is ?
{{{Answer}}} (Down)
Quiz:> If my pH is down my potassium (K+) is?
{{{Answer}}} (Up)
Quiz:> If my patient is overventilating I should choose?
{{{Answer}}} (Respiratory Alkalosis)
Quiz:> If my patient is underventilating I should choose?
{{{Answer}}} (Respiratory Acidosis)
Quiz:> If my patient has prolonged gastric vomiting or suction I choose?
{{{Answer}}} (Metabolic Alkalosis)
Quiz:> If it is not lung or prolonged vomiting or suctioning I choose?
{{{Answer}}} (Metabolic Acidosis)
Quiz:> Kussmal Respirations
{{{Answer}}} (Metabolic Acidosis ( Remember MacKussmal)
Quiz:> Before measuing ABGs you should check what?
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{{{Answer}}} (Allen's test. Should be positive. Pt makes a fist and pressure is applied to
the ulnar and the radial arteries Ulnar pressure is released and color should return in 7
seconds (means it's positive and OK to take ABG's).)
Quiz:> Definition of Compensation
{{{Answer}}} (PH is normal! It is never compensated if it is abnormal.)
Quiz:> If PH normal
{{{Answer}}} (look in the direction it is going. Closer to Acidic? (7.35) acidosis.
Then look at Bicarb & figure out which is abnormal. If Bicarb is out of range, it's
metabolic acidosis.
If C02 is abnormal, it's Respiratory Acidosis :))
Quiz:> If your pt is acidotic and you need to pick a symptom
{{{Answer}}} (Pick the symptom where everything is DOWN. ( And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down direction)
Quiz:> If you don't know what causes an acid base balance, pick
{{{Answer}}} (Metabolic Acidosis)
Quiz:> If in doubt in ABGs, always pick
{{{Answer}}} (Headache, nausea, weakness & numbness+ tingling. It can be either up or
down.)
Quiz:> High pressure alarms are triggered when?
{{{Answer}}} (They cannot push air in)
Quiz:> High pressure alarms are caused by what three types of obstructions?
{{{Answer}}} (Kinking, Water in dependant loops and mucus in the airway.)
Quiz:> If kinking in the tube is present you?
{{{Answer}}} (Unkink)
Quiz:> If water is present in the dependant loops you?
{{{Answer}}} (Open system and empty water.)
Quiz:> If mucus is present you?
{{{Answer}}} (Turn them, cough and have them deeo breath first. If ineffective you then
suction.)
Quiz:> Don't suction unless
{{{Answer}}} (Coughing & deep breathing is deemed inappropriate.)
Quiz:> In order to suction, you must be able to hear
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{{{Answer}}} (Mucus in the lung)
Quiz:> Low pressure alarms are triggered when?
{{{Answer}}} (It is to easy to push air in.)
Quiz:> Low pressure alarms are normally caused by?
{{{Answer}}} (Disconnection)
Quiz:> If the tubing is disconnected you?
{{{Answer}}} (Reconnect)
Quiz:> If O2 sensor line is disconnected you?
{{{Answer}}} (Reconnect)
Quiz:> In a vented client respiratory alkalosis means the vent setting may be too?
{{{Answer}}} (High)
Quiz:> In a vented client respiratory acidosis means the vent may be too?
{{{Answer}}} (Low)
Quiz:> What do you do if the patients disconnected tube is on the floor?
{{{Answer}}} (Bag them, (call for help) get new tube and then reconnect.)
Quiz:> First question to ask if the low pressure alarm sounds
{{{Answer}}} (Where is the tubing?!)
Quiz:> HOLD
{{{Answer}}} (H- High Pressure
O- Obstruction
L- Low
D- Disconnections)
Quiz:> Never put anything in YOUR scope of practice
{{{Answer}}} (On anyone else)
Quiz:> Make sure your answer is
{{{Answer}}} (PATIENT FOCUSED.
TAKE CARE OF YOUR PATIENT!
Don't answer based on staff, building, machine, etc.
PATIENT FIRST.)
Quiz:> What does wean mean?
{{{Answer}}} (Decrease Gradually)
Quiz:> What do you do if the patients disconnected tube is on the chest?
{{{Answer}}} (Reconnect ... if its above the waist its ok.)
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Quiz:> Remember is PSYCH if you are asked to Prioritize, Don't forget
{{{Answer}}} (MASLOW!
1. Physiological
2. Safety
3. Comfort - Includes pain
4. Psychological
5. Social
6. Spiritual)
Quiz:> When prioritizing, always use Maslow + ABCs
{{{Answer}}} (For one patient. Don't if you have more than one patient.)
Quiz:> What is the biggest problem in abuse?
{{{Answer}}} (Denial)
Quiz:> To treat denial you need to?
{{{Answer}}} (Confront them.)
Quiz:> Definition of Denial
{{{Answer}}} (Refusal to accept reality of their problem)
Quiz:> How do you confront?
{{{Answer}}} (Point out the difference between what they say and what they do.)
Quiz:> What is the one circumstance that you as a nurse would support denial?
{{{Answer}}} (Loss and Grief)
Quiz:> Always go
{{{Answer}}} (Med surg first. Then Psych)
Quiz:> What is dependency?
{{{Answer}}} (When the abuser gets a significant other so make decisions for them or do
thing for them.)
Quiz:> What is codependency?
{{{Answer}}} (When the significant other gets positive self esteem from doing things or
making decisions for an abuser.)
Quiz:> To treat dependency/codependency you ?
{{{Answer}}} (Set limits and enforce them.
Say NO and follow through.
Agree in advance on what requests are allowed, then enforce the agreement.
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Mark Klimek Yellow Book (KV) Latest
Quiz:> If the pH and the BiCarb are both in the same direction then it is?
{{{Answer}}} (Metabolic)
Quiz:> If the pH is up it is?
{{{Answer}}} (Alkalosis)
Quiz:> As the pH goes so goes my patient except for?
{{{Answer}}} (Potassium)
Quiz:> If the pH is down it is?
{{{Answer}}} (Acidosis)
Quiz:> If the pH is up my patient with show signs and symptoms of?
{{{Answer}}} (Increase... like tachycardia,diarrhea and borborygmi)
Quiz:> If the pH is down my patient will show signs and symtoms of?
{{{Answer}}} (Decrease... like decreased output, bradycardia and constipation)
Quiz:> If my pH is up my potassium (K+) is ?
{{{Answer}}} (Down)
Quiz:> If my pH is down my potassium (K+) is?
{{{Answer}}} (Up)
Quiz:> If my patient is overventilating I should choose?
{{{Answer}}} (Respiratory Alkalosis)
Quiz:> If my patient is underventilating I should choose?
{{{Answer}}} (Respiratory Acidosis)
Quiz:> If my patient has prolonged gastric vomiting or suction I choose?
{{{Answer}}} (Metabolic Alkalosis)
Quiz:> If it is not lung or prolonged vomiting or suctioning I choose?
{{{Answer}}} (Metabolic Acidosis)
Quiz:> Kussmal Respirations
{{{Answer}}} (Metabolic Acidosis ( Remember MacKussmal)
Quiz:> Before measuing ABGs you should check what?
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{{{Answer}}} (Allen's test. Should be positive. Pt makes a fist and pressure is applied to
the ulnar and the radial arteries Ulnar pressure is released and color should return in 7
seconds (means it's positive and OK to take ABG's).)
Quiz:> Definition of Compensation
{{{Answer}}} (PH is normal! It is never compensated if it is abnormal.)
Quiz:> If PH normal
{{{Answer}}} (look in the direction it is going. Closer to Acidic? (7.35) acidosis.
Then look at Bicarb & figure out which is abnormal. If Bicarb is out of range, it's
metabolic acidosis.
If C02 is abnormal, it's Respiratory Acidosis :))
Quiz:> If your pt is acidotic and you need to pick a symptom
{{{Answer}}} (Pick the symptom where everything is DOWN. ( And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down direction)
Quiz:> If you don't know what causes an acid base balance, pick
{{{Answer}}} (Metabolic Acidosis)
Quiz:> If in doubt in ABGs, always pick
{{{Answer}}} (Headache, nausea, weakness & numbness+ tingling. It can be either up or
down.)
Quiz:> High pressure alarms are triggered when?
{{{Answer}}} (They cannot push air in)
Quiz:> High pressure alarms are caused by what three types of obstructions?
{{{Answer}}} (Kinking, Water in dependant loops and mucus in the airway.)
Quiz:> If kinking in the tube is present you?
{{{Answer}}} (Unkink)
Quiz:> If water is present in the dependant loops you?
{{{Answer}}} (Open system and empty water.)
Quiz:> If mucus is present you?
{{{Answer}}} (Turn them, cough and have them deeo breath first. If ineffective you then
suction.)
Quiz:> Don't suction unless
{{{Answer}}} (Coughing & deep breathing is deemed inappropriate.)
Quiz:> In order to suction, you must be able to hear
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{{{Answer}}} (Mucus in the lung)
Quiz:> Low pressure alarms are triggered when?
{{{Answer}}} (It is to easy to push air in.)
Quiz:> Low pressure alarms are normally caused by?
{{{Answer}}} (Disconnection)
Quiz:> If the tubing is disconnected you?
{{{Answer}}} (Reconnect)
Quiz:> If O2 sensor line is disconnected you?
{{{Answer}}} (Reconnect)
Quiz:> In a vented client respiratory alkalosis means the vent setting may be too?
{{{Answer}}} (High)
Quiz:> In a vented client respiratory acidosis means the vent may be too?
{{{Answer}}} (Low)
Quiz:> What do you do if the patients disconnected tube is on the floor?
{{{Answer}}} (Bag them, (call for help) get new tube and then reconnect.)
Quiz:> First question to ask if the low pressure alarm sounds
{{{Answer}}} (Where is the tubing?!)
Quiz:> HOLD
{{{Answer}}} (H- High Pressure
O- Obstruction
L- Low
D- Disconnections)
Quiz:> Never put anything in YOUR scope of practice
{{{Answer}}} (On anyone else)
Quiz:> Make sure your answer is
{{{Answer}}} (PATIENT FOCUSED.
TAKE CARE OF YOUR PATIENT!
Don't answer based on staff, building, machine, etc.
PATIENT FIRST.)
Quiz:> What does wean mean?
{{{Answer}}} (Decrease Gradually)
Quiz:> What do you do if the patients disconnected tube is on the chest?
{{{Answer}}} (Reconnect ... if its above the waist its ok.)
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Quiz:> Remember is PSYCH if you are asked to Prioritize, Don't forget
{{{Answer}}} (MASLOW!
1. Physiological
2. Safety
3. Comfort - Includes pain
4. Psychological
5. Social
6. Spiritual)
Quiz:> When prioritizing, always use Maslow + ABCs
{{{Answer}}} (For one patient. Don't if you have more than one patient.)
Quiz:> What is the biggest problem in abuse?
{{{Answer}}} (Denial)
Quiz:> To treat denial you need to?
{{{Answer}}} (Confront them.)
Quiz:> Definition of Denial
{{{Answer}}} (Refusal to accept reality of their problem)
Quiz:> How do you confront?
{{{Answer}}} (Point out the difference between what they say and what they do.)
Quiz:> What is the one circumstance that you as a nurse would support denial?
{{{Answer}}} (Loss and Grief)
Quiz:> Always go
{{{Answer}}} (Med surg first. Then Psych)
Quiz:> What is dependency?
{{{Answer}}} (When the abuser gets a significant other so make decisions for them or do
thing for them.)
Quiz:> What is codependency?
{{{Answer}}} (When the significant other gets positive self esteem from doing things or
making decisions for an abuser.)
Quiz:> To treat dependency/codependency you ?
{{{Answer}}} (Set limits and enforce them.
Say NO and follow through.
Agree in advance on what requests are allowed, then enforce the agreement.
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