Correct Answers.
What is the normal pH of blood? - Answer 7.35-7.45
What is the normal PaCO2 level? - Answer 35-45
What is the normal HCO3 (bicarbonate) level? - Answer 22-26
What acid-base imbalance would a client experiencing an asthma attack be at risk for? - Answer
Respiratory Acidosis
What types of triggers can cause HHS or DKA? - Answer Trauma, Injury, or Infection
Define Green peak flow zone. - Answer 80-100% of clients personal best
Define Yellow peak flow zone. - Answer 50-79% of the clients personal best
Define Red peak flow zone. - Answer Below 50% of clients personal best
What is the purpose of a spacer with an MDI? - Answer To increase dosage administered for
a better therapeutic effect
What long-term asthma medication puts a client at risk for thrush? - Answer Inhaled
corticosteroids
What is the pathophysiology of an asthma attack? - Answer A trigger irritates the immune
response, bronchiole becomes inflamed and smooth muscle constricts, mucous secretions
narrow the airway
Multiple episodes of vomiting would lead to which acid-base imbalance? - Answer Metabolic
Alkalosis
What would the nurse advise against for foot care of a client with diabetes? - Answer Hot
water, clipping nails to the skin, and lotion between the toes
, What nursing education would you provide to a client with asthma and current peak flow
reading in the yellow zone? - Answer Take your rescue inhaler and then recheck peak flow
What is the priority action with someone admitted with severely elevated glucose levels? -
Answer Fluid Replacement
What is the pathophysiology of dumping syndrome? - Answer Food quickly fills the small
intestine releasing digestive enzymes which then triggers a huge influx of insulin putting the
client into hypoglycemia
What are the three short-acting asthma medications? - Answer Bronchodilators - Albuterol,
Anticholinergics - Ipartropium, IV Corticosteroids - Methylprednisone
What complication should the nurse assess for in a client taking a sulfonylurea medication? -
Answer Hypoglycemia
What type of insulin can not be mixed with other insulins? - Answer Long-acting (glargine)
What is the most common side effect of the beta agonists? - Answer Tachycardia - Other
symptoms include muscle tremors, anxiety, and palpitations
How many lbs a week is recommended in weight loss? - Answer 1-2 lbs
What are the 5 criteria for metabolic syndrome? - Answer Hypertension, Low HDL, High LDL,
Increased waist circumference, Increased fasting blood glucose
What pain medication is contraindicated for a client after bariatric surgery? - Answer NSAIDs
or Ibuprofen
What are the 3 P's of diabetes mellitus? - Answer polyuria, polydipsia, polyphagia
Obesity starts at what BMI? - Answer 30
What is the fetal risk related to gestational diabetes? - Answer Macrosomia and shoulder
dystocia (shoulder getting stuck)
What test result reflects the average blood glucose over 3 months? - Answer Hemoglobin A1c