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Acid base and dosage calcculations Exam (NUR 112): Questions and Answeres | Latest Spring 2026 - Wilkes Community College.

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Acid base and dosage calcculations Exam (NUR 112): Questions and Answeres | Latest Spring 2026 - Wilkes Community College. / NUR 112 Acid/Base and Calculations Name: WXM Aithan ~ Match the acid-base status of the following blood samples to the disorders in the given . choices. (PaCO2 values are in mmHg and bicarbonate values in mmol/I). Show your work. 1. pH 7.57, PaCO2 22, HCO3- 17 PH A. Respiratory Acidosis, Partially Compensated .@_ - B. Respiratory Alkalosis, Uncompensated C. Metabolic Acidosis, Partially Compensated HEO espiratory Alkalosis, Partially Compensated 2. pH 7.39, PaCO2 44, HCO3- 26 T Respiratory Acidosis PA B. Metabolic Acidosis @ C. Respiratory Alkalosis (R (D)Normal 3. pH 7.55, PaCO2 25, HCO3- 22 Ph A. Respiratory Acidosis, Partially Compensated (0= Respiratory Alkalosis, Uncompensated “w C. Metabolic Alkalosis, Partially Compensated D. Metabolic Acidosis, Uncompensated 4. pH 7.17, PaCO2 48, HCO3- 36 ph A. Respiratory Acidosis, Uncompensated .) B. Metabolic Acidosis, Partially Compensated L C. Respiratory Alkalosis, Partially Compensated @(espiratory Acidosis, Partially Compensated 5. pH 7.34, PaCO2 24, HCO3- 20 Ph A, Respiratory Acidosis, Partially Compensated A LL1 ‘Metabolic Acidosis, Partially Compensated C. Metabolic Acidosis, Uncompensated fQ,B etabolic Alkalosis, Partially Compensated 6. pH 7.64, PaCO2 25, HCO3- 19 ’ p" A. Respiratory Acidosis, Uncompensated 02 Respiratory Alkalosis, Partially Compensated C. Respiratory Alkalosis, Uncompensated H(/() D. Metabolic Alkalosis, Partially Compensated 7. pH 7.45, PaCO2 50, HCO3-30 ) Metabolic Alkalosis, Fully Compensated . Respiratory Alkalosis, Fully Compensated j:—t—@)b C. Metabolic Alkalosis, Partially Compensated (02 D. Respiratory Acidosis, Partially Compensated i Scanned with ! k& CamScanner’;NUR 112 Acid/Base and Calculations Name: o 8. pH 7.6, PaCO2 53, HCO3- 38 (A Metabolic Alkalosis, Partially Compensated [ B. Metabolic Alkalosis, Fully Compensated 6] C. Respiratory Acidosis, Partially Compensated D. Respiratory Alkalosis, Fully Compensated C02 9. pH 7.5, PaCO2 19, HCO3- 22 PV A. Respiratory Alkalosis, Partially Compensated B. Metabolic Alkalosis, Partially Compensated = C. Respiratory Acidosis, Uncompensated b @(espiratory Alkalosis, Uncompensated 10. pH 7.4, PaCO2 59, HCO3- 35 A. Respiratory Acidosis, Uncompensated p B. Metabolic Alkalosis, Uncompensated hE (CRespiratory ; Acidosis, iyl Fully Compensated C c03 D. Metabolic Alkalosis, Partially Compensated 11. George Kent is a 54 year old widower with a history of chronic obstructive pulmonary disease and was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough with yellow-green sputum. He has difficulty in communicating because of his inability to complete a sentence. One of his sons, Jacob, says he has been unwell for three days. Upon examination, crackles and wheezes can be heard in the lower lobes; he has a tachycardia and a bounding pulse. Measurement of ) arterial blood gas shows pH 7.3, PaCO2 68 mm Hg, HCO3 28 mmoVl/L, and Pa0O2 60 mm Hg. How would you interpret this? A. Respiratory Acidosis, Uncompensated Ph -Respiratory Acidosis, Partially Compensated £ Metabolic Alkalosis, Uncompensated Lo 03 D. Metabolic Acidosis, Partially Compensated H 12. Carl, an elementary student, was rushed to the hospital due to vomiting and a decreased level of consciousness. The patient displays slow and deep (Kussmaul breathing), and he is lethargic and irritable in response to stimulation. He appears to be dehydrated— his eyes are sunken and mucous membranes are dry—and he has a two week history of polydipsia, polyuria, and weight loss. Measurement of arterial blood gas shows pH 7.0, Pa02 90 mm Hg, PaCO2 23 mm Hg, and HCO3 12 mmol/L; other results are Na+ 126 mmol/L, K+ 5 mmol/L, and CI- 95 mmol/L. What is your assessment? A. Respiratory Acidosis, Uncompensated B. Respiratory Acidosis, Partially Compensated Ph C. Metabolic Alkalosis, Uncompensated @vmabolic Acidosis, Partially, Compensated O~ Heo Scanned with ! k& CamScanner’;e — NUR 112 Acld/Base and Calculations Name: 13. A cigarette vendor was brought to the emergency department of a hospltal after she fell into the ground and hurt her left leg. She is noted to be tachycardic and tachypneic. Painkillers were carried out to lessen her pain, Suddenly, she started complaining that she Is still in pain and now experiencing muscle cramps, tingling, and paresthesia. Measurement of arterial blood gas reveals pH 7.6, PaO2 120 mm Hg, PaCO2 31 mm Hg, and HCO3 25 mmol/L. What does this mean? Q ) A. Respiratory Alkalosis, Uncompensated B. Respiratory Acidosis, Partially Compensated 02 ctabolic Alkalosis, Uncompensated D. Metabolic Alkalosis, Partially Compensated H 14. Ricky’s grandmother is suffering from persistent vomiting for two days now. She appears to be lethargic and weak and has myalgia. She is noted to have dry mucus membranes and her capillary refill takes 4 seconds. She is diagnosed as having gastroenteritis and dehydration. Measurement of arterial blood gas shows pH 7.5, Pa02 85 mm Hg, PaCO2 40 mm Hg, and HCO3 34 mmol/L. What acid-base disorder is shown? A. Respiratory Alkalosis, Uncompensated p ’ (B)Respiratory Acidosis, Partially Compensated 0 C. Metabolic Alkalosis, Uncompensated D. Metabolic Alkalosis, Partially Compensated (02 15. Mrs. Johansson, who had undergone surgery in the post-anesthesia care unit (PACU), is difficult to arouse two hours following surgery. Nurse Florence in the PACU has been administering Morphine Sulfate intravenously to the client for complaints of post-surgical pain. The client’s respiratory rate is 7 per minute and demonstrates shallow breathing. The patient does not respond to any stimuli! The nurse assesses the ABCs (remember Airway, Breathing, Circulation!) and obtains ABGs STAT! Measurement of arterial blood gas shows pH 7.10, PaCO2 70 mm Hg and HCO3 24 mEq/L. What does this mean? A. Respiratory Alkalosis, Partially Compensated B. Respiratory Acidosis, Uncompensated Q C. Metabolic Alkalosis, Partially Compensated ctabolic Acidosis, Uncompensated Q4 RO 16. Baby Angela was rushed to the Emergency Room following her mother’s complaint that the infant has been irritable, difficult to breastfeed and has had diarrhea for the past 3 days. The infant’s respiratory rate is elevated and the fontanels are sunken. The Emergency Room physician orders ABGs after assessing the ABCs. The results from the ABG results show pH 7.39, PaCO2 27 mmHg and HCO3 19 mEq/L. What does this mean? A. Respiratory Alkalosis, Fully Compensated . Metabolic Acidosis, Uncompensated Q @kmho]ic Acidosis, Fully Compensated . Respiratory Acidosis, Uncompensated ,QO - (02 Scanned with & CamScanner’;NUR 112 Acid/Base and Calculations Name: 17. Mr. Wales, who underwent post-abdominal surgery, has a nasogastric tube. The nurse on duty notes that the nasogastric tube (NGT) is draining a large amount (900 cc in 2 3‘5 hours) of coffee ground secretions. The client is not oriented to person, place, or time. The nurse contacts the attending physician and STAT ABGs are ordered. The results from the ABGs show pH 7.57, PaCO2 37 mmHg and HCO3 30 mEq/L. What is your assessment? . Metabolic Acidosis, Uncompensated (), @Mmbolic Alkalosis, Uncompensated 0 ~ Respiratory Alkalosis, Uncompensated ‘ D. Metabolic Alkalosis, Partially Compensated c02 18. Client Z is admitted to the hospital and is to undergo brain surgery. The client is very anxious and scared of the upcoming surgery. He begins to hyperventilate and becomes very dizzy. The client loses consciousness and the STAT ABGs reveal pH 7.61, PaCO2 22 mmHg and HCO3 25 mEq/L. What is the ABG interpretation based on the findings? A. Metabolic Acidosis, Uncompensated ?r B. Respiratory Alkalosis, Partially Compensated 072 @Respiratory Alkalosis, Uncompensated D. Metabolic Alkalosis, Partially Compensated Q/ 19. Three-year-old Adrian is admitted to the hospital with a diagnosis of asthma and respiratory distress syndrome. The mother of the child reports to the nurse on duty that she has witnessed slight tremors and behavioral changes in her child over the past four days. The attending physician orders routine ABGs following an assessment of the ABCs. The ABG results are pH 7.35, PaCO2 72 mmHg and HCO3 38 mEq/L. What ‘) acid-base disorder is shown? A. Respiratory Acidosis, Uncompensated M Respiratory Acidosis, Fully Compensated C. Respiratory Alkalosis, Fully Compensated C0 D. Metabolic Alkalosis, Partially Compensated n ¢0 20. Anne, who is drinking beer at a party, falls and hits her head on the ground. Her friend Liza dials “911” because Anne is unconscious, depressed ventilation (shallow and slow respirations), rapid heart rate, and is profusely bleeding from both ears. Which primary acid-base imbalance is Anne at risk for if medical attention is not provided? A. Metabolic Acidosis . Metabolic Alkalosis espiratory Acidosis D. Respiratory Alkalosis 21. Dave, a 6-year-old boy, was rushed to the hospital following her mother’s complaint that her son has been vomiting, nauseated and has overall weakness. After series of tests, the nurse notes the laboratory results: potassium: 2.9 mEq. Which primary acid-base imbalance is this boy at risk for if medical intervention is not carried out? A. Respiratory Acidosis B. Respiratory Alkalosis Metabolic Acidosis y Metabolic Alkalosis Scanned with & CamScanner’;NUR 112 Acid/Base and Calculations Name: 22. An old beggar was admitted to the emergency department due to shortness of breath, fever, and a productive cough. Upon examination, crackles and wheezes are noted in the lower lobes; he appears to be tachycardic and has a bounding pulse. Measurement of arterial blood gas shows pH 7.2, PaCO2 66 mm Hg, HCO3 27 mmol/L, and PaO2 65 mm Hg. As a knowledgeable nurse, you know that the normal value for pH is: A.7.20 7.30 40 D. 7.50 23. Liza’s mother is seen in the emergency department at a community hospital. She admits that her mother is taking many tablets of aspirin (salicylates) over the last 24-hour period because of a severe headache. Also, the mother complains of an inability to urinate. The nurse on duty took her vital signs and noted the following: Temp = 97.8 °F; apical pulse = 95; respiration = 32 and deep. Which primary acid-base imbalance is the client at risk for if medical attention is not provided? A. Respiratory Acidosis Respiratory Alkalosis etabolic Acidosis D. Metabolic Alkalosis 24. A patient who is hospitalized due to vomiting and a decreased level of consciousness displays slow and deep (Kussmaul breathing), and he is lethargic and irritable in response to stimulation. The doctor diagnosed him of having dehydration. Measurement of arterial blood gas shows pH 7.0, PaO2 90 mm Hg, PaCO2 22 mm Hg, and HCO3 14 mmol/L; other results are Na+ 120 mmol/L,K+ 2.5 mmol/L, and Cl- 95 mmol/L. As a knowledgeable nurse, you know that the normal value for PaCO2 is: A.22mm Hg (B)36 mm Hg C.48 mm Hg D. 50 mm Hg 25. A company driver is found at the scene of an automobile accident in a state of emotional distress. He tells the paramedics that he feels dizzy, tingling in his fingertips, and does not remember what happened to his car. Respiratory rate is rapid at 34/minute. Which primary acid-base disturbance is the young man at risk for if medical attention is not provided? . Respiratory Acidosis @Respiratory Alkalosis . Metabolic Acidosis D. Metabolic Alkalosis 26. An elderly client was admitted to hospital in a coma. Analysis of the arterial blood gave the following values: PCO2 16 mm Hg, HCO3- 5 mmol/L and pH 7.1. As a well-rounded nurse, you know that the normal value for HCO3 is: A, 20 mmol/L 24 mmol/L . 29 mmol/L D. 31 mmol/L i Scanned with ! & CamScanner’;NUR 112 Acid/Base and Calculations Name: . .. .. - =& 27. In a patient undergoing surgery, it was vital to aspirate the contents of the upper & y gastrointestinal tract. After the operation, the following values were acquired from an arterial blood sample: pH 7.55, PCO2 52 mm Hg and HCO3- 40 mmol/l. What is the underlying disorder? A. Respiratory Acidosis W B. Respiratory Alkalosis 0 C. Metabolic Acidosis CY2 D. Metabolic Alkalosis HQO 28. A mountaineer attempts an assault on a high mountain in the Andes and reaches an altitude of 5000 meters (16,400 ft) above sea level. What will happen to his arterial PCO2 and pH? . Both will be lower than normal. ) The pH will rise and PCO2 will fall. C. Both will be higher than normal due to the physical exertion. D. The pH will fall and PCO2 will rise 29. A young woman is found comatose, having taken an unknown number of sleeping pills an unknown time before. An arterial blood sample yields the following values: pH 6.90, HCO3- 13 mEq/liter and PaCO2 68 mmHg. This patient’s acid-base status is most accurately described as: (A)Metabolic Acidosis Ph B. Respiratory Acidosis C. Simultaneous Respiratory and Metabolic Acidosis Hw )) D. Respiratory Acidosis with Complete Renal Compensation (). 30. A mother is admitted in the emergency department following complaints of fever and chills. The nurse on duty took her vital signs and noted the following: Temp = 100 °F; apical pulse = 95; respiration = 20 and deep. Measurement of arterial blood gas shows pH 7.37, Pa02 90 mm Hg, PaCO2 40 mm Hg, and HCO3 24 mmol/L. What is your assessment? A. Hyperthermia Hyperthermia and Respiratory Alkalosis . Hypothermia D. Hypothermia and Respiratory Alkalosis ) Scanned with ! B CamScanner’|] / NUR 112 Acid/Base and Calculations Name: 325 mg (scored). How many supp will you administer? A. 2 supp O OOO B. 1 supp = IO O ©3 supp ! % 9 100 D. 5 supp . 31. Doctor’s Order: Tylenol supp 1 g PR q 6 hr prn temp 101; Available: Tylenol supp = 3-0'}‘{ : 32. Doctor’s Order: Nafcillin 500 mg po pc; Available: Nafcillin 1 gm tab (scored). How many tabs will you administer per day? | A. 2.5 tabs 4 B, 2 tabs lq = IOOOCJ 300 _ 0. 5 @;abs 9 oo S %S = 5 | 33. Doctor’s Order: Synthroid 75 mcg po daily; Available: Synthroid 0.15 mg tab | (scored). How many tabs will you administer? , 3.?:1) BT A __g;g;imfl 6.0T5 = 05 L. 1CZ ?.(Salt):bs 1000 ©.15 34. Doctor’s Order: Diuril 1.8 mg/kg po tid; Available: Diuril 12.5 mg caps. How many caps will you administer for each dose to a 31 Ib. child? 95 -?C .gagps 31 1bS 14-09 kg e g Sa |¥ % 14108 F 3590 35. Doctor’s Order: Cleocin Oral Susp 600 mg po gid; Directions for mixing: Add 100 mL of water and shake vigorously. Each 2.5 mL will contain 100 mg of Cleocin. How many tsp Cleocin will you administer? 3 tsp : B. 5 tsp OO 2.5 3l§:§ C.3.5tsp [ OO D. 1 tsp 36. Doctor’s Order: Sulfasalazine Oral Susp 500 mg q 6 hr; Directions for 3mixing: Add 125 mL of water and shake well. Each tbsp will yield 1.5 g of Sulfasalazine. How many mL 1l you give? i UL i A5 S (009 g 200 = 75 thsp x15 €D /500 5 i Scanned with & CamScanner’;NUR 112 Acid/Base and Calculations Name: 37. Your patient has had the following intake: 2 % cups of coffee (240 mL/cup), 11.5 0z ? of grape juice, % qt of milk, 320 mL of diet coke, 1 % L of DSW IV and 2 oz of grits. What D will you record as the total intake in mL for this patient? A.2,325ml 63265 ml LOO+340 + 7%+ 1500 + 35 C.3,325ml D. 2,235 ml 38. Your patient has had the following intake: 8 oz glasses of iced tea, 4 0z cartons of grape juice, % pt of ice cream, 32 oz of juice, 1 %2 L of DSW IV and 6 oz of cottage cheese. What will you record as the total intake in mL for this patient? A. 3,357 ml B.3.375ml 120+ C.3,915ml (D)3,195 ml ¢x2L02 v350¢+/5004% |11 39. Doctor’s Order: Kantamycin 7.5 mg/kg IM q 12 hr; Available: Kantamycin 035 Gm/mL. How many mL will you administer for each dose to a 157 lb. patient? AB.1ml 2 1971 =7 7R , A34.08 é@g‘ _ ~1.5x 7120 = =534-0OgE L350 |5 N 40. Doctor’s Order: Heparin 7,855 units Sub Q bid; Available: Heparin 10,000 units per ml. How many mL will you administer? A9.79 ml 18955 - C.0.17ml R A D. 1.17ml /0000 67955 i 41. Doctor’s Order: Demerol 50 mg IVP q 6 hr prn pain; Available: Demerol 75 mg/ 1.3mL. How many mL will you administer? 0.87 ml 71.87 ml o | C.2ml ?/5’ = D. 2.87ml 42. Doctor’s Order: Streptomycin 1.75 mg/ 1b. IM q 12 hr; Available: Streptomycin 0.35 g/ 2.3 mL. How many mL will you administer a day to a 59 Kg patient? A 1.5ml B.Zm;n 156 Vbs C.2.5ml B ml 43. Doctor’s Order: Bumex 0.8 mg IV bolus bid; Reconstitution instructions: Constitute to 175 ¥ 180 =47 ¥2 =455 1000 micrograms/3.1 mL with 4.8mL of 5% Dextrose Water for Injection. How many mL will you administer? Scanned with & CamScanner’;e =3 t“.: NUR 112 Acid/Base and Calculations Name: A.2ml B.3.5ml %&99 +5 @23 C.3ml B0 44. Doctor’s Order: Tazidime 0.3 g IM tid; Reconstitution instructions: For IM solution add 1.5 mL of diluent. Shake to dissolve. Provides an approximate volume of 1.8 mL (280 mg/mL). How many mL will you give? A.19ml B.2ml 0.% 9= 300 mg g '0-1 C.3ml Oy-1ml 2¢O 45. Doctor’s Order: Infuse 50 mg of Amphotericin B in 250 mL NS over 4 hr 15 min; Drop factor: 12gtt/mL. What flow rate (mL/hr) will you set on the IV infusion pump? 11.8 ml/hr : @SS.Smllhr 250 74 .25 . 14.1 ml/hr D. 60.2 ml/hr 46. Doctor’s Order: 1 %2 L of NS to be infused over 7 hours; Drop factor: 15 gtt/mL. What flow rate (mL/hr) will you set on the IV infusion pump? - Coilvirdd 15007 =2H-29 . 35.7 mlV/hr D. 142.9 ml/hr 47. Doctor’s Order: Mandol 300 mg in 50 mL of D5W to infuse IVPB 15 minutes; Drop factor: 10 gtt/mL. How many mL/hr will you set on the IV infusion pump? 00 ml/hr B. 87.5 ml/hr KO=0-26 C.3.3 ml/hr D. 50 mV/hr 48. Doctor’s Order: Infuse 1200 mL of 0.45% Normal Saline at 125 mL/hr; Drop Factor: 12gtt/min. How many gtt/min will you regulate the IV? A. 2 gtt/min min 4760 |25 ©25 gumin —= x4 D. 27 gtVmin (210] 49. Doctor’s Order: Rocephin 0.5 grams in 250 mL of DSW to infuse IVPB 45 minutes; Drop Factor: 12gtt/min. How many gtt/ min will you regulate the IVPB? A. 6 gtt/min B. 30 gtt/min 250 X 2 . L5 : Scanned with & CamScanner’;NUR 112 Acid/Base and Calculations Name: (©%7 gvmin D. 87 git'min 50. Doctor’s Order: % L of DSW to infuse over 2 hr 45 min; Drop factor: 60 gtt/mL. How many gtt/min will you regulate the IV? s91 gtt'min 250 y(,0 | C. 125 gttmin | (05 D. 142 gtt’min 51. Doctor’s order: Amoxicillin 0.25 g p.o. every 8 hours; Available: Amoxicillin 125 mg tablets. How many tablets will the nurse give per dose? A.05tzb B.11b 0-759 = 250mq _ o C. 1.5 tabs 125 (D)2tabs 52. Doctor’s order: Zofran 8 mg p.o. t.i.d.; Available: Zofran in a 100 ml bottle labeled 4 mg/tsp.; How many ml will the nurse administer for each dose? A.1.25ml B.6.25 ml 7 Fep-= 10 (Sim C.8ml 53. Doctor’s order: Morphine gr 1/10; Available: Morphine 10 mg/ml. How many ml will Q the nurse give? A.0.6ml 0-) ml L C.6ml I5C) D. 10 ml 54. Give Fortaz mg/kg/day p.o. 50 mg/kg p.o. t.i.d. to a child who weighs 25.5 kg. Fortaz is available in an oral suspension labeled 100 mg/ml. How many ml would the nurse administer per dose? A.0.5ml HBOK 255 = 1275 B.0. 8 ml [bo . 10.8 ml 12.8 ml 55. Give Ceclor 45 mg/kg/day p.o. in 3 divided doses for a patient who weighs 66 pounds. A 75 ml stock medication is labeled Ceclor 125 mg/ml. How many ml would the nurse 10.§ xir(r;.;n:;:erperdosc? (p(fl E ‘”5 G-y 46 EI ( ég 97 g= @g o %0 (E T9ml 56. Glve Blaxin for a child whose BSA Is 0.55 m?, The usual adult dose is 500 mg. Biaxin is ‘) avallable In an oral suspension. The 100ml bottle is Inbeled 50 mg/ml. How many ml would the nurse glve per dose? Scanned with & CamScanner’NUR 112 Acid/Base and Calculations Name: — i 2T A.32ml B. 1.6ml . 1.2ml (D)sml 57. Give Phenergan for a child whose BSA is 1.2 m% The usual adult dose is 25 mg. How many milligrams would the nurse administer for the dose? A.12mg B. 17.6 mg 0.8 mg .25 mg 58. LR 125 mV/hr via gravity flow using tubing calibrated at 15 gtt/ml. Calculate the flow A.8 rate. gttmin 5 5 B. 15 gtt/min — X @1.25 gtt/min s oFL0 (0 59. One liter NS to infuse over 24 hours using a micro drip (gravity flow). Calculate the fl flow rate. IQQO (B2 gtt/min PR il 0 B. 28 gtt/mi C.ltht/fiui; IH‘/O D. 10 gtt/min 60. At the change of shift you notice 200 ml left to count in the L.V. bag. The L.V. is infusing at 80 ml/hr. How much longer will the L.V. run? A l1hr (B} hr and 30 mins -2 hrs D. 2 hrs and 30 mins 61. Keflin 2 g in 100 m] DSW IVPB over 20 minutes. The L.V. tubing is 15 gtt/ml. Calculate the flow rate. A. 150 gtt/min 100 B. 100 gtt/min s x5 (C5 gtt/min D. 76 gtt/min 62. The physician writes an order for Heparin 900 units/hour. The label on the I.V. bag reads: Heparin 10,000 units in 500 ml DSW. How many ml/hr will deliver the correct dose? A.11 mUhr 45::1/m W 106 0D C. 50 mVhr 500 = D. 55 ml/hr Scanned with & CamScanner’;NUR 112 Acld/Base and Calculations Name: €= 6), Administer Heparin 1,000 units/hr from an L.V, bag mixed 40,000 units in 1 L D5W. N Hlow many mi/hr will deliver the correct amount of Heparin? A 40 mi/r B30 mi/hr L‘OQOO - 4 0 LQ_O_? = 979 mllw (Cr5 mimr | D00 3 0 D. 15 mi/hr 64, The patlent’s Heparin is infusing at 28 mVhr on an infusion pump. The bag of fluid is mixed 20,000 units of Heparin in 500 ml D5W. What hourly dose of heparin is the patient recelving? AJ1,120 units/r 000D . 1,210 units/hr 2 =~ f) C. 2,120 units/hr 500 D. 2,210 units/hr 65. The patient’s heparin drip is infusing at 11 mVhr on an infusion pump. The bag of fluid Is mixed 25,000 units of Heparin in 250 ml D5W. What hourly dose of Heparin is the patient receiving? A. 2,500 units/hr 3 B.2,000::ilts/hr 25000 =109 I° 109 C. 1,000 units/hr ——Q—_?CS @l,l()o units/hr ] W 66. Give Regular insulin by continuous L.V. infusion at 20 units/hr. The solution is 250 ml NS with 100 units of Regular insulin. What rate on the infusion pump will deliver the correct dose? A. 5 ml/hr IOO s 1l __?__O :50 B. 8 ml/hr —Q—"s—b = 0O- 0-4 (€50 mifhr D. 100 ml/hr 67. Administer a Theophylline drip at 40 mg/hr. The solution is 250 ml D5W + Theophylline 500 mg. What rate on the infusion pump will deliver the correct dose? @20ml/hr B. 40 ml/hr 5_99 B iO -~ 20 C. 80 ml/hr 250 2 D. 100 ml/hr 68. Give Tridil 15 meg/min. Tridil is mixed 50 mg in 500 ml D5W. What rate on the infusion pump will deliver the correct dose? A. 150 ml/hr 100 B.l5ml/hrr 56000 _ p0 = C. 90 ml/hr "%—66“" -0~ @9m|/hr 69. Give propofol 10 meg/kg/minute. The infusion is mixed propofol 250 mg in 250 ml DSW. The patient weighs 168 pounds. What rate on the infusion pump will deliver the correct dose? i Scanned with & CamScanner’;i NUR 112 Acid/Base and Calculations Name: B T pd e R = 13 W0z Ub Jomin 250060 - (500 56 70. Give Nitroprusside 5 mcg/kg/minute via continuous infusion for a patient weighing 205 Ibs. Nitroprusside is available in a solution of 200 mg in 250 ml DSW. What rate on the i::.fizl;i:l Vl;l;xmp will deliver the cogec: dz;eé . 5 _9 o i JQ—QO 200000 : (B35 mife agngice= e 20 ] 250 == C.45 D. 50 mUhr L—é—%o =65 &1:24 v b 8oo 71. Tridil is infusing at 15 ml/hr on an infusion pump. The drug is mixed 50 mg in 500 ml D5W. How many mcg/min is the patient receiving? (&)25 B. 35 mcg/min meg/min 153100 =1500 C. 45 mcg/min e, D. 50 mcg/min iAoXOME e B O 72. A lidocaine drip is infusing at 30 ml/hr on an infusion device. The drug is mixed 2 g in 500 ml DSW. How many mg/min is the patient receiving? o"0 AB 5mgmin s 30X 4d=v2.0 s =i C. 3 mg/min Lo 2 mg/min 73. Aminophylline is infusing at 30 ml/hr. The drug is mixed 250 mg in 500 ml DSW. How many mg/hr is the patient receiving? A.30mg/hr B. 25 mg/hr .0 % 0-6: 15 C. 20 mg/hr (D)15 mg/hr Scanned with {8 CamScanner’|

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Voorbeeld van de inhoud

Acid/Base and Calculations Name: WX\\M Aithan
/ NUR 112

~ Match the acid-base status of the following blood samples to the disorders in the given
. choices. (PaCO2 values are in mmHg and bicarbonate values in mmol/I). Show your work.

1. pH 7.57, PaCO2 22, HCO3- 17 PH
A. Respiratory Acidosis, Partially Compensated .@_ -
B. Respiratory Alkalosis, Uncompensated \
C. Metabolic Acidosis, Partially Compensated HEO
espiratory Alkalosis, Partially Compensated

2. pH 7.39, PaCO2 44, HCO3- 26
T Respiratory Acidosis PA
B. Metabolic Acidosis @
C. Respiratory Alkalosis (R
(D)Normal
3. pH 7.55, PaCO2 25, HCO3- 22 Ph
A. Respiratory Acidosis, Partially Compensated (0=
Respiratory Alkalosis, Uncompensated “w
C. Metabolic Alkalosis, Partially Compensated
D. Metabolic Acidosis, Uncompensated

4. pH 7.17, PaCO2 48, HCO3- 36 ph
A. Respiratory Acidosis, Uncompensated
.) B. Metabolic Acidosis, Partially Compensated L
C. Respiratory Alkalosis, Partially Compensated
@(espiratory Acidosis, Partially Compensated

5. pH 7.34, PaCO2 24, HCO3- 20 Ph
A, Respiratory Acidosis, Partially Compensated A LL1
‘Metabolic Acidosis, Partially Compensated
C. Metabolic Acidosis, Uncompensated \f\Q,B
etabolic Alkalosis, Partially Compensated

6. pH 7.64, PaCO2 25, HCO3- 19 ’ p\"
A. Respiratory Acidosis, Uncompensated 02
Respiratory Alkalosis, Partially Compensated
C. Respiratory Alkalosis, Uncompensated H(/()
D. Metabolic Alkalosis, Partially Compensated

7. pH 7.45, PaCO2 50, HCO3-30 )
Metabolic Alkalosis, Fully Compensated
. Respiratory Alkalosis, Fully Compensated \j:—t—@)b
C. Metabolic Alkalosis, Partially Compensated (02
D. Respiratory Acidosis, Partially Compensated




i Scanned with !
k& CamScanner’;

, NUR 112 Acid/Base and Calculations Name: o

8. pH 7.6, PaCO2 53, HCO3- 38
(A Metabolic Alkalosis, Partially Compensated [\
B. Metabolic Alkalosis, Fully Compensated 6]
C. Respiratory Acidosis, Partially Compensated
D. Respiratory Alkalosis, Fully Compensated C02

9. pH 7.5, PaCO2 19, HCO3- 22 PV\
A. Respiratory Alkalosis, Partially Compensated
B. Metabolic Alkalosis, Partially Compensated =
C. Respiratory Acidosis, Uncompensated b
@(espiratory Alkalosis, Uncompensated

10. pH 7.4, PaCO2 59, HCO3- 35
A. Respiratory Acidosis, Uncompensated p
B. Metabolic Alkalosis, Uncompensated hE
; iyl
(CRespiratory Acidosis, Fully Compensated
D. Metabolic Alkalosis, Partially Compensated
C
c03
11. George Kent is a 54 year old widower with a history of chronic obstructive pulmonary
disease and was rushed to the emergency department with increasing shortness of breath,
pyrexia, and a productive cough with yellow-green sputum. He has difficulty in
communicating because of his inability to complete a sentence. One of his sons, Jacob, says
he has been unwell for three days. Upon examination, crackles and wheezes can be heard in
the lower lobes; he has a tachycardia and a bounding pulse. Measurement of )
arterial blood gas shows pH 7.3, PaCO2 68 mm Hg, HCO3 28 mmoVl/L, and Pa0O2 60 mm
Hg. How would you interpret this?
A. Respiratory Acidosis, Uncompensated Ph
-Respiratory Acidosis, Partially Compensated £
Metabolic Alkalosis, Uncompensated Lo 03
D. Metabolic Acidosis, Partially Compensated H
12. Carl, an elementary student, was rushed to the hospital due to vomiting and a
decreased level of consciousness. The patient displays slow and deep (Kussmaul breathing),
and he is lethargic and irritable in response to stimulation. He appears to be dehydrated—
his eyes are sunken and mucous membranes are dry—and he has a two week history of
polydipsia, polyuria, and weight loss. Measurement of arterial blood gas shows pH 7.0,
Pa02 90 mm Hg, PaCO2 23 mm Hg, and HCO3 12 mmol/L; other results are Na+ 126
mmol/L, K+ 5 mmol/L, and CI- 95 mmol/L. What is your assessment?
A. Respiratory Acidosis, Uncompensated
B. Respiratory Acidosis, Partially Compensated Ph
C. Metabolic Alkalosis, Uncompensated
@vmabolic Acidosis, Partially, Compensated O~

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