Portage Learning Pathophysiology NURS 231
BIOD 331 Final Exam & module 1-10 exams All
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Terms in this set (429)
What are the normal's for the 1) 1.000-1.030
following labs 2) 270-300
1) Urine Specific Gravity 3) pH 7.35-7.45// HC03 22-26// PaCO2 35-45//
2) Serum Osmolality Pa02 80-100
3) ABG (pH, HCO3, PaCO2, PaO2) 4) troponin I <0.03 ng/mL
4) troponin I 5) Na+ 135-145//K+ 3.5-5// Ca+ 9-10.5//Mg+ 1.2-2
5) electrolyte panel( Na+, K+, Ca+, 6) BUN 10-20//Creat 0.5-1.2
Mg+) 7) hgb 12-18// hct 37-52%// rbc 4.2-6.1// wbc
6) BUN & Creatinine 5,000-10,000// platelets 150,000-400,000
7) CBC ( hgb, hct, RBC, WBC,
platelets)
Match the lab profile with the most 1) A
likely fluid imbalance like A) Fluid 2) B
Volume Deficit 2) Fluid Volume 3) A
Excess
1) ____Na 148; Hct 40% yesterday, 49%
today; serum osmolarity 308
2) ____Hgb 13.2 yesterday, 10.1 today;
Urine specific gravity 1.001
3) ____BUN 45; Cr 0.7
,The nurse is preparing to administer b) Serum potassium 5.6
lisinopril (Zestril) to a patient with *ACE inhibitors can cause/exacerbate
acute coronary syndrome. Which of hyperkalemia.
the following findings should prompt
the nurse to hold the medication and
consult the healthcare provider?
a) Serum sodium level 134
b) Serum potassium 5.6
c) Heart rate 58
d) Blood pressure 125/78
The nurse is caring for a patient who a) Lactated Ringers
is in hypovolemic shock following an *Isotonic solutions (crystalloids) are used to restore
extensive burn injury. What is the fluid volume in patients with shock. Lactated
intravenous fluid of choice for this Ringers is isotonic. Normal saline is also isotonic.
patient in the emergent phase of
treatment?
a) Lactated Ringers
b) 0.45 NS with 20 mEq potassium
chloride
c) Fresh Frozen Plasma
d) 5% Dextrose in saline
The client on a ventilator is assessed b) Lung sounds absent on one side.
for untoward responses to the *This may indicate a pneumothorax--a complication
therapy. Which of the following caused by barotrauma.
would indicate a possible
complication of ventilator therapy?
a) Blood pressure has increased
5mmHg in the last 24 hours
b) Lung sounds absent on one side.
c) Forceful cough periodically
d) Broncho-vesicular breath sounds
throughout peripheral lung fields.
,The pressure reading during a) Assess the client's oxygenation.
inspiration on the ventilator of a
client receiving mechanical
ventilation is high and alarming
intermittently. What is the nurse's first
action?
a) Assess the client's oxygenation.
b) Call the RT to check the ventilator
settings.
c) Listen for bilateral lung sounds.
d) Determine whether an air leak is
present in the client's endotracheal
tube cuff.
Which assessment finding best c) Serum sodium level has changed from 151 to 143.
indicates that fluid resuscitation
therapy for the patient with
hypertonic dehydration has acheived
the desired effect?
a) Peripheral pulses changed from 1+
to 3+
b) Neck veins slightly distended @
30 degrees
c) Serum sodium level has changed
from 151 to 143.
d) Pulse oximetry shows oxygen
saturation of 95%
Which intravenous solution should d) 0.9% saline
you be prepared to administer to a
patient with isotonic dehydration?
a) 0.45% saline
b) Dextrose 5% in water
c) Dextrose 10% in water
d) 0.9% saline
, A patient is receiving dobutamine a)Angina
[Dobutrex] as a continuous infusion c)Dysrhythmias
in the immediate postoperative e)Tachycardia
period. The patient also is receiving a
diuretic. What adverse drug *Is a beta1 aderenergic agonist; general anesthetics
reactions are possible in this patient? can increase the likelihood of dysrhythmias.
(select all that apply) Dobutamine elevates BP by increasing CO.
a)Angina Diuretics complement the beneficial effects of
b)Hypotension dobutamine on the kidney, so urine output would
c)Dysrhythmias be increased, not decreased.
d)Oliguria
e)Tachycardia
A patient who has severe sepsis is a) 250 mL of urine in the past 6 hours
receiving an intravenous normal
saline infusion. She weighs 78 kgs. *Fluid resuscitation goals in sepsis are: MAP > 65,
Which of the following is an indicator UO . 0.5 mL/kg/hr, and/or CVP 8-12 mm Hg.
that the therapeutic goal has been
met?
a) 250 mL of urine in the past 6 hours
b) Arterial blood pressure is 90/42
c) Central Venous Pressure is 2 mm
Hg
d) Patient's heart rate is 101
BIOD 331 Final Exam & module 1-10 exams All
Versions (Questions and Answers)
Save
Terms in this set (429)
What are the normal's for the 1) 1.000-1.030
following labs 2) 270-300
1) Urine Specific Gravity 3) pH 7.35-7.45// HC03 22-26// PaCO2 35-45//
2) Serum Osmolality Pa02 80-100
3) ABG (pH, HCO3, PaCO2, PaO2) 4) troponin I <0.03 ng/mL
4) troponin I 5) Na+ 135-145//K+ 3.5-5// Ca+ 9-10.5//Mg+ 1.2-2
5) electrolyte panel( Na+, K+, Ca+, 6) BUN 10-20//Creat 0.5-1.2
Mg+) 7) hgb 12-18// hct 37-52%// rbc 4.2-6.1// wbc
6) BUN & Creatinine 5,000-10,000// platelets 150,000-400,000
7) CBC ( hgb, hct, RBC, WBC,
platelets)
Match the lab profile with the most 1) A
likely fluid imbalance like A) Fluid 2) B
Volume Deficit 2) Fluid Volume 3) A
Excess
1) ____Na 148; Hct 40% yesterday, 49%
today; serum osmolarity 308
2) ____Hgb 13.2 yesterday, 10.1 today;
Urine specific gravity 1.001
3) ____BUN 45; Cr 0.7
,The nurse is preparing to administer b) Serum potassium 5.6
lisinopril (Zestril) to a patient with *ACE inhibitors can cause/exacerbate
acute coronary syndrome. Which of hyperkalemia.
the following findings should prompt
the nurse to hold the medication and
consult the healthcare provider?
a) Serum sodium level 134
b) Serum potassium 5.6
c) Heart rate 58
d) Blood pressure 125/78
The nurse is caring for a patient who a) Lactated Ringers
is in hypovolemic shock following an *Isotonic solutions (crystalloids) are used to restore
extensive burn injury. What is the fluid volume in patients with shock. Lactated
intravenous fluid of choice for this Ringers is isotonic. Normal saline is also isotonic.
patient in the emergent phase of
treatment?
a) Lactated Ringers
b) 0.45 NS with 20 mEq potassium
chloride
c) Fresh Frozen Plasma
d) 5% Dextrose in saline
The client on a ventilator is assessed b) Lung sounds absent on one side.
for untoward responses to the *This may indicate a pneumothorax--a complication
therapy. Which of the following caused by barotrauma.
would indicate a possible
complication of ventilator therapy?
a) Blood pressure has increased
5mmHg in the last 24 hours
b) Lung sounds absent on one side.
c) Forceful cough periodically
d) Broncho-vesicular breath sounds
throughout peripheral lung fields.
,The pressure reading during a) Assess the client's oxygenation.
inspiration on the ventilator of a
client receiving mechanical
ventilation is high and alarming
intermittently. What is the nurse's first
action?
a) Assess the client's oxygenation.
b) Call the RT to check the ventilator
settings.
c) Listen for bilateral lung sounds.
d) Determine whether an air leak is
present in the client's endotracheal
tube cuff.
Which assessment finding best c) Serum sodium level has changed from 151 to 143.
indicates that fluid resuscitation
therapy for the patient with
hypertonic dehydration has acheived
the desired effect?
a) Peripheral pulses changed from 1+
to 3+
b) Neck veins slightly distended @
30 degrees
c) Serum sodium level has changed
from 151 to 143.
d) Pulse oximetry shows oxygen
saturation of 95%
Which intravenous solution should d) 0.9% saline
you be prepared to administer to a
patient with isotonic dehydration?
a) 0.45% saline
b) Dextrose 5% in water
c) Dextrose 10% in water
d) 0.9% saline
, A patient is receiving dobutamine a)Angina
[Dobutrex] as a continuous infusion c)Dysrhythmias
in the immediate postoperative e)Tachycardia
period. The patient also is receiving a
diuretic. What adverse drug *Is a beta1 aderenergic agonist; general anesthetics
reactions are possible in this patient? can increase the likelihood of dysrhythmias.
(select all that apply) Dobutamine elevates BP by increasing CO.
a)Angina Diuretics complement the beneficial effects of
b)Hypotension dobutamine on the kidney, so urine output would
c)Dysrhythmias be increased, not decreased.
d)Oliguria
e)Tachycardia
A patient who has severe sepsis is a) 250 mL of urine in the past 6 hours
receiving an intravenous normal
saline infusion. She weighs 78 kgs. *Fluid resuscitation goals in sepsis are: MAP > 65,
Which of the following is an indicator UO . 0.5 mL/kg/hr, and/or CVP 8-12 mm Hg.
that the therapeutic goal has been
met?
a) 250 mL of urine in the past 6 hours
b) Arterial blood pressure is 90/42
c) Central Venous Pressure is 2 mm
Hg
d) Patient's heart rate is 101
