Page 1 of 39
EXAM 2 & FINAL EXAM: NUR 2392 / NUR2392 (LATEST
UPDATES STUDY BUNDLE WITH COMPLETE
SOLUTIONS) MULTIDIMENSIONAL CARE II / MDC 2 |
QUESTIONS AND ANSWERS | 100% CORRECT |
GRADE A - RASMUSSEN
Uncompensated .....ANSWER.....pH and one other value is
abnormal
Partial compensation .....ANSWER.....pH, CO2, and HCO3 are all
off
Full compensation .....ANSWER.....pH is normal
Acidosis .....ANSWER.....reduces the excitability of cardiovascular
muscle, neurons, skeletal muscle, and smooth muscle.
Alkalosis .....ANSWER.....increases the sensitivity of excitable
tissues allowing them to OVERRESPOND without stimulation
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ABG considerations .....ANSWER.....- Assess cardiovascular w/
acidosis (cardiac arrest from hyperkalemia)
- Assess neuro status
- Fall precautions
Bicarb HC03 .....ANSWER.....kidney compensation (slow and
powerful)
Respiratory PaC02 .....ANSWER.....Respiratory compensation
(fast but limited)
Metabolic acidosis causes .....ANSWER.....DKA, Starvation,
diarrhea, kidney failure, dehydration, liver failure, pancreatitis,
heavy exercise, seizure activity, fever, hypoxia, ischemia,
ethanol/methanol intoxication
Metabolic acidosis signs and symptoms
.....ANSWER.....bradycardia, hypotension, thready pulse, CNS
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depression, hyporeflexia, kussmal resp (with resp compensation),
warm, flushed, dry skin.
Metabolic acidosis treatment .....ANSWER.....hydration and
medication to treat underlying problems (DKA - give insulin).
Metabolic alkalosis causes .....ANSWER.....antacids, blood
transfusion, sodium bicarbonate, total parenteral nutrition (TPN),
prolonged vomiting, nasogastric suctioning, hypercortisolism,
hyperaldosteronism, Loop/Thiazide diuretics.
Metabolic Alkalosis s/s .....ANSWER.....anxiety, irritability, tetany,
seizures, POSITIVE CHVOSTEK, POSITIVE TROUSSEAU,
parathesis, hyperreflexia, muscle cramping/twitching, skeletal
muscle weakness, Tachycardia, norm/low BP, increased Digoxin
toxicity, decreased respiratory effort (muscle weakness).
metabolic alkalosis treatment .....ANSWER.....restore
fluid/electrolyte imbalances
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Respiratory acidosis cause .....ANSWER.....Opioids, anesthetics,
electrolyte imbalance, inadequate chest expansion, muscle
weakness, airway obstruction, alveolar-capillary block.
Respiratory acidosis s/s .....ANSWER.....bradycardia,
hypotension, thready pulse, CNS depression, hyporeflexia,
ineffective respirations, pale-to-cyanotic dry skin.
Respiratory acidosis treatment .....ANSWER.....(Assess airway)
Improve gas exchange, drug therapy (bronchodilators, anti-
inflammatory), oxygen therapy (lowest flow possible), ventilation.
Respiratory alkalosis cause .....ANSWER.....Hyperventilation (fear,
anxiety), mechanical ventilation, salicylate toxicity, high altitudes,
early-stage acute pulmonary issues.
respiratory alkalosis s/s .....ANSWER.....anxiety, irritability,
tetany, seizures, POSITIVE CHVOSTEK, POSITIVE TROUSSEAU
(hypocalcemia), parathesis, hyperreflexia, muscle
EXAM 2 & FINAL EXAM: NUR 2392 / NUR2392 (LATEST
UPDATES STUDY BUNDLE WITH COMPLETE
SOLUTIONS) MULTIDIMENSIONAL CARE II / MDC 2 |
QUESTIONS AND ANSWERS | 100% CORRECT |
GRADE A - RASMUSSEN
Uncompensated .....ANSWER.....pH and one other value is
abnormal
Partial compensation .....ANSWER.....pH, CO2, and HCO3 are all
off
Full compensation .....ANSWER.....pH is normal
Acidosis .....ANSWER.....reduces the excitability of cardiovascular
muscle, neurons, skeletal muscle, and smooth muscle.
Alkalosis .....ANSWER.....increases the sensitivity of excitable
tissues allowing them to OVERRESPOND without stimulation
,Page 2 of 39
ABG considerations .....ANSWER.....- Assess cardiovascular w/
acidosis (cardiac arrest from hyperkalemia)
- Assess neuro status
- Fall precautions
Bicarb HC03 .....ANSWER.....kidney compensation (slow and
powerful)
Respiratory PaC02 .....ANSWER.....Respiratory compensation
(fast but limited)
Metabolic acidosis causes .....ANSWER.....DKA, Starvation,
diarrhea, kidney failure, dehydration, liver failure, pancreatitis,
heavy exercise, seizure activity, fever, hypoxia, ischemia,
ethanol/methanol intoxication
Metabolic acidosis signs and symptoms
.....ANSWER.....bradycardia, hypotension, thready pulse, CNS
,Page 3 of 39
depression, hyporeflexia, kussmal resp (with resp compensation),
warm, flushed, dry skin.
Metabolic acidosis treatment .....ANSWER.....hydration and
medication to treat underlying problems (DKA - give insulin).
Metabolic alkalosis causes .....ANSWER.....antacids, blood
transfusion, sodium bicarbonate, total parenteral nutrition (TPN),
prolonged vomiting, nasogastric suctioning, hypercortisolism,
hyperaldosteronism, Loop/Thiazide diuretics.
Metabolic Alkalosis s/s .....ANSWER.....anxiety, irritability, tetany,
seizures, POSITIVE CHVOSTEK, POSITIVE TROUSSEAU,
parathesis, hyperreflexia, muscle cramping/twitching, skeletal
muscle weakness, Tachycardia, norm/low BP, increased Digoxin
toxicity, decreased respiratory effort (muscle weakness).
metabolic alkalosis treatment .....ANSWER.....restore
fluid/electrolyte imbalances
, Page 4 of 39
Respiratory acidosis cause .....ANSWER.....Opioids, anesthetics,
electrolyte imbalance, inadequate chest expansion, muscle
weakness, airway obstruction, alveolar-capillary block.
Respiratory acidosis s/s .....ANSWER.....bradycardia,
hypotension, thready pulse, CNS depression, hyporeflexia,
ineffective respirations, pale-to-cyanotic dry skin.
Respiratory acidosis treatment .....ANSWER.....(Assess airway)
Improve gas exchange, drug therapy (bronchodilators, anti-
inflammatory), oxygen therapy (lowest flow possible), ventilation.
Respiratory alkalosis cause .....ANSWER.....Hyperventilation (fear,
anxiety), mechanical ventilation, salicylate toxicity, high altitudes,
early-stage acute pulmonary issues.
respiratory alkalosis s/s .....ANSWER.....anxiety, irritability,
tetany, seizures, POSITIVE CHVOSTEK, POSITIVE TROUSSEAU
(hypocalcemia), parathesis, hyperreflexia, muscle
