NUR215 EXAM QUESTIONS AND ANSWERS A+ GRADED
In pancreatitis the patient should always be placed ______ to stop from
producing ________ enzymes
NPO, enzymes
ERCP can visualize the pancreatic and common bile ducts. Imaging studies, such
as CT, MRI, MRCP, abdominal ultrasound, and EUS, can show a variety of
changes, including c__________, ductal d_______, pseudocysts, and enlargement
of the pancreas.
calcification, dilation
Pancreatitis can be caused from g_______, a______, c________, septic abscesses
gallstone, alcohol, cancer
Treatment _______ for pain control in pancreatitis, pain stimulates ______
_______
morphine, pancreatic enzymes
IV fluids because the patient is NPO for hydration, and ________ and ________
imbalance
fluid, electrolyte
Patient's will get large volumes of ______ ______ ______ like LR AND NS in
pancreatitis
isotonic crystalloid solution
Patient's with pancreatitis suffer from ______ spacing where fluid goes into the
i_________ space and they become in__________ dehydrated, that is why the
patient needs large volumes of isotonic crystalloid solutions
third, interstitial, intravascularly
In pancreatitis problems from _________ and ___________ resuscitation can
cause fluid_______ which in turn can cause d__________ p_________ edema, and
A________
fluid, electrolyte, overload, dysrhythmias, pulmonary, ARDS
Important lab work to monitor with acute pancreatitis is _________, __________
amylase, lipase
Why does afib happen in pancreatitis
low potassium
Primary complications in acute pancreatitis fluid_______ large volumes of fluid
collect in the ______ atrium by the ______ node, this is what causes ________
overload, right, SA, AFIB
Elderly are more at risk for complications of pancreatitis because
decreased______ function, ______ motility, m_________, underlying p________
disorders and _______ in cardiac function
kidney, gut, mobility, pulmonary, reduction
______ for pancreatitis reduce _____ ______ secretions and help prevent _______
_______
PPI'S, gastric acid, stress ulcers
What should you check on patient to see if they have developed a stress ulcer,
_______ tarry ______, lower GI bleed would cause _____ stools, vomiting _______
, black, stools, bloody, blood
In pancreatitis a stent can be placed in the common bile duct by ______ if
obstruction has occurred
ERCP
Do not give ______ enzymes in pancreatitis
pancreatic
Location of pain in pancreatitis ______ _____ quadrant, _____ epigastric,
radiating to the ______ ______ makes it worst
left, upper, mid, back, eating
In fully compensated disorders, blood gases reveal that PH is _________ and
everything else is __________
normal, abnormal
PH from _______ to________ is on the acidotic side
7.35, 7.39
What causes respiratory alkalosis
tachypnea
What can cause rapid respirations in respiratory alkalosis? A_______, s________
panic, p________, high________, hy__________, end stage ________
anxiety, stress, pain, temperature, hypoxia, COPD
Interventions for respiratory acidosis B______ , Di_______, V_________ for BP
support for hypotension if needed, v________, high flow ________,
br____________ for lung disease.
Bipap, diuretics, vasopressor, oxygen, bronchodilators
Opioid reversal for respiratory acidosis
Naloxone, Narcan
Benzodiazepine reversal for respiratory acidosis.
Flumazenil, Mazicon, Romazicon
Respiratory acidosis causes, anything that causes _______ breathing, C02 stays
in the body, ___________ overdose
slow, opioid
Respiratory alkalosis interventions, a_______ medications, p_______
medications, , anti________ for fevers , o_________ for hypoxia, end stage COPD,
paper_______
anxiety, pain, antipyretics, oxygen, bag
Metabolic alkalosis causes, __________, _____ suctioning, _____ ______
diurectics
vomiting, NG, high dose
Metabolic Alkalosis treatment, change _______ ________ ________ on ventilator
setting, anti_________, decrease _________, low dose_________, replacing water
and electrolytes ______________,_____________, ____________) while treating
the cause
breaths per minute, antiemetics, suction, diuretics, sodium, potassium, magnesium
Metabolic acidosis causes, D_______, l________ failure, k_______ failure,
________ abuse
DKA, liver, kidney, alcohol
In pancreatitis the patient should always be placed ______ to stop from
producing ________ enzymes
NPO, enzymes
ERCP can visualize the pancreatic and common bile ducts. Imaging studies, such
as CT, MRI, MRCP, abdominal ultrasound, and EUS, can show a variety of
changes, including c__________, ductal d_______, pseudocysts, and enlargement
of the pancreas.
calcification, dilation
Pancreatitis can be caused from g_______, a______, c________, septic abscesses
gallstone, alcohol, cancer
Treatment _______ for pain control in pancreatitis, pain stimulates ______
_______
morphine, pancreatic enzymes
IV fluids because the patient is NPO for hydration, and ________ and ________
imbalance
fluid, electrolyte
Patient's will get large volumes of ______ ______ ______ like LR AND NS in
pancreatitis
isotonic crystalloid solution
Patient's with pancreatitis suffer from ______ spacing where fluid goes into the
i_________ space and they become in__________ dehydrated, that is why the
patient needs large volumes of isotonic crystalloid solutions
third, interstitial, intravascularly
In pancreatitis problems from _________ and ___________ resuscitation can
cause fluid_______ which in turn can cause d__________ p_________ edema, and
A________
fluid, electrolyte, overload, dysrhythmias, pulmonary, ARDS
Important lab work to monitor with acute pancreatitis is _________, __________
amylase, lipase
Why does afib happen in pancreatitis
low potassium
Primary complications in acute pancreatitis fluid_______ large volumes of fluid
collect in the ______ atrium by the ______ node, this is what causes ________
overload, right, SA, AFIB
Elderly are more at risk for complications of pancreatitis because
decreased______ function, ______ motility, m_________, underlying p________
disorders and _______ in cardiac function
kidney, gut, mobility, pulmonary, reduction
______ for pancreatitis reduce _____ ______ secretions and help prevent _______
_______
PPI'S, gastric acid, stress ulcers
What should you check on patient to see if they have developed a stress ulcer,
_______ tarry ______, lower GI bleed would cause _____ stools, vomiting _______
, black, stools, bloody, blood
In pancreatitis a stent can be placed in the common bile duct by ______ if
obstruction has occurred
ERCP
Do not give ______ enzymes in pancreatitis
pancreatic
Location of pain in pancreatitis ______ _____ quadrant, _____ epigastric,
radiating to the ______ ______ makes it worst
left, upper, mid, back, eating
In fully compensated disorders, blood gases reveal that PH is _________ and
everything else is __________
normal, abnormal
PH from _______ to________ is on the acidotic side
7.35, 7.39
What causes respiratory alkalosis
tachypnea
What can cause rapid respirations in respiratory alkalosis? A_______, s________
panic, p________, high________, hy__________, end stage ________
anxiety, stress, pain, temperature, hypoxia, COPD
Interventions for respiratory acidosis B______ , Di_______, V_________ for BP
support for hypotension if needed, v________, high flow ________,
br____________ for lung disease.
Bipap, diuretics, vasopressor, oxygen, bronchodilators
Opioid reversal for respiratory acidosis
Naloxone, Narcan
Benzodiazepine reversal for respiratory acidosis.
Flumazenil, Mazicon, Romazicon
Respiratory acidosis causes, anything that causes _______ breathing, C02 stays
in the body, ___________ overdose
slow, opioid
Respiratory alkalosis interventions, a_______ medications, p_______
medications, , anti________ for fevers , o_________ for hypoxia, end stage COPD,
paper_______
anxiety, pain, antipyretics, oxygen, bag
Metabolic alkalosis causes, __________, _____ suctioning, _____ ______
diurectics
vomiting, NG, high dose
Metabolic Alkalosis treatment, change _______ ________ ________ on ventilator
setting, anti_________, decrease _________, low dose_________, replacing water
and electrolytes ______________,_____________, ____________) while treating
the cause
breaths per minute, antiemetics, suction, diuretics, sodium, potassium, magnesium
Metabolic acidosis causes, D_______, l________ failure, k_______ failure,
________ abuse
DKA, liver, kidney, alcohol
