NR 328 EXAMS 1 SETS ANSWERS AND QUESTIONS SET A.pdf

NR 328 EXAMS 1 SETS ANSWERS AND QUESTIONS
SET A+
✔✔Signs and Symptoms of Shock - ✔✔- circulatory failure
- hypotension
- tissue hypoxia
- metabolic acidosis
- restlessness
- usually a result of hypovolemia
- watch vitals
- change in mental status
- labs
- blood gases

✔✔ Fluid Overload: S/S - ✔✔- edema
- elevated venous pressure
- hepatomegaly
- weight gain
- slow bounding pulse
- lethargy
- seizures/coma
- increased spinal fluid pressure

✔✔Fluid Overload: Lab Findings - ✔✔- low urine specific gravity
- decreased serum electrolytes
- decreased hematocrit
- variable urine volume

✔✔Fluid Deficit: S/S - ✔✔- variable temp
- dry skin and mucous membranes
- poor skin turgor
- decreased pulse
- slow cap refill
- weight loss
- fatigue

, - ALOC
- Tachypnea/tachycardia

✔✔Fluid Deficit: Lab Findings - ✔✔- high urine specific gravity
- increased hematocrit
- variable serum electrolytes
- variable urine volume
- increased BUN
- increased serum osmolality

✔✔Hypokalemia: S/S - ✔✔- muscle weakness
- hypotension
- cardiac arrhythmias
- tach or bradycardia
- Ileus
- drowsiness
- irritability

✔✔Hypokalemia: Lab Findings - ✔✔- decreased serum potassium <3.5
- abnormal EKG - notched or flattened t-wave, decreased ST segment

✔✔Hypokalemia: Causes - ✔✔- corticosteroids
- healing stage of burns
- hyperglycemic diuresis
- IV administration of insulin in DKA
- Alkalosis

✔✔Hyperkalemia: Causes - ✔✔- renal disease
- addison's
- metabolic acidosis
- old donor blood
- crushing injuries

✔✔Hyperkalemia: S/S - ✔✔- muscle weakness
- twitching
- hyperreflexia
- bradycardia
- V-fib and cardiac arrest
- oliguria
- apnea - respiratory distress

✔✔Hyperkalemia: Lab Findings - ✔✔- high serum potassium > 5.5
- variable urine volume
- flat p wave in evg, peaked t wave, widened QRS complex