Mark Klimek NCLEX Review-
Lecture/Yellow Book
Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is meta_____
- ANSpH, Bicarb, Both, Bolic
pH 7.30_______ HCO3 20_______ - ANS↓= acidosis; ↓= metabolic
pH 7.58_______ HCO3 32_______ - ANS↑= alkalosis; ↑= metabolic
pH 7.22_______ HCO3 30_______ - ANS↓= acidosis; ↑= respiratory
You are providing care to a client with the following blood gas results: pH 7.32, CO2 49, HCO3
29, PO2 80, and SaO2 90%. Based on these results, the client is experiencing: - ANS↓=
acidosis; ↑= respiratory
MacKussmaul - ANSThe only acid base to cause Kussmaul respirations is Metabolic ACidosis
As the _______ goes, so goes _______ except for _______ - ANSpH, my patient, Potassium
Up - ANShyokalemia, alkalosis, HTN, Tachycardia, Tachypnea, Seizures, Irritability, Spastic,
Diarrhea, Borborygme, hyperreflexia, etc
Down - ANShyperkalemia, acidosis, htn, bradycardia, constipation, absent bowel sounds, flacid,
bradypnea
Causes of acid-base imbalances: First ask yourself, "Is it _______?" If yes, then it's _______.
Then ask yourself: "Are they _______ or _______. If _______, pick _______. If _______, pick
_______ - ANSlung, respiratory, overventilating, underventilating, overventilating, alkalosis,
underventilating, acidosis
Causes of acid-base imbalances: If it's not lung, then it's _______. If the patient has _______
_______ vomiting or suction, pick _______. For everything else that isn't lung, pick _______
_______. When you don't know what to pick, choose _______ _______ - ANSmetabolic,
prolonged gastric, alkalosis, metabolic acidosis, metabolic acidosis
High pressure alarms are triggered by _______ resistance to air flow. - ANSincreased
High pressure alarms are triggered by increased resistance to airflow and can be caused by
obstructions of three types: _______ action, _______ action, _______ action - ANS(kinked
tube) unkink, (water in tube) empty, (mucus in airway) cough and deep breathe
, Low pressure alarms are triggered by _______ resistance to airflow. - ANSdecreased
Low pressure alarms are triggered by decreased resistance to airflow and can be caused by
disconnections of the _______ or _______ - ANStubing (reconnect it), oxygen sensor tube
(reconnect it UNLESS tube is on the floor- bag them and call RT if this happens)
Respiratory alkalosis means ventilator settings may be too _______ - ANShigh
Respiratory acidosis means ventilator settings may be too _______ - ANSlow
What does "wean" mean? - ANSgradually decrease with the goal of getting off altogether
What is Maslow's highest priority to lowest priority? - ANS1. Physiological
2. Safety
3. Comfort
4. Psychological (problems within the person)
5. Social (problems with other people)
6. Spiritual
Arrange from highest to lowest priority using Maslow's:
Denial
Spiritual Distress
Pain in Elbow
Fall Risk
Pathological Family Dynamics
Electrolyte Imbalance - ANSElectrolyte Imbalance (Physiological)
Fall Risk (Safety)
Pain in Elbow (Comfort)
Denial (Psychological)
Pathological Family Dynamics (Social)
Spiritual Distress (Spiritual)
What are the 5 stages of grief? - ANSDenial
Anger
Bargain
Depression
Acceptance
The #1 problem in abuse is _______ - ANSdenial
Denial is the _______ to accept the _______ of their problem - ANSrefusal, reality
Lecture/Yellow Book
Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is meta_____
- ANSpH, Bicarb, Both, Bolic
pH 7.30_______ HCO3 20_______ - ANS↓= acidosis; ↓= metabolic
pH 7.58_______ HCO3 32_______ - ANS↑= alkalosis; ↑= metabolic
pH 7.22_______ HCO3 30_______ - ANS↓= acidosis; ↑= respiratory
You are providing care to a client with the following blood gas results: pH 7.32, CO2 49, HCO3
29, PO2 80, and SaO2 90%. Based on these results, the client is experiencing: - ANS↓=
acidosis; ↑= respiratory
MacKussmaul - ANSThe only acid base to cause Kussmaul respirations is Metabolic ACidosis
As the _______ goes, so goes _______ except for _______ - ANSpH, my patient, Potassium
Up - ANShyokalemia, alkalosis, HTN, Tachycardia, Tachypnea, Seizures, Irritability, Spastic,
Diarrhea, Borborygme, hyperreflexia, etc
Down - ANShyperkalemia, acidosis, htn, bradycardia, constipation, absent bowel sounds, flacid,
bradypnea
Causes of acid-base imbalances: First ask yourself, "Is it _______?" If yes, then it's _______.
Then ask yourself: "Are they _______ or _______. If _______, pick _______. If _______, pick
_______ - ANSlung, respiratory, overventilating, underventilating, overventilating, alkalosis,
underventilating, acidosis
Causes of acid-base imbalances: If it's not lung, then it's _______. If the patient has _______
_______ vomiting or suction, pick _______. For everything else that isn't lung, pick _______
_______. When you don't know what to pick, choose _______ _______ - ANSmetabolic,
prolonged gastric, alkalosis, metabolic acidosis, metabolic acidosis
High pressure alarms are triggered by _______ resistance to air flow. - ANSincreased
High pressure alarms are triggered by increased resistance to airflow and can be caused by
obstructions of three types: _______ action, _______ action, _______ action - ANS(kinked
tube) unkink, (water in tube) empty, (mucus in airway) cough and deep breathe
, Low pressure alarms are triggered by _______ resistance to airflow. - ANSdecreased
Low pressure alarms are triggered by decreased resistance to airflow and can be caused by
disconnections of the _______ or _______ - ANStubing (reconnect it), oxygen sensor tube
(reconnect it UNLESS tube is on the floor- bag them and call RT if this happens)
Respiratory alkalosis means ventilator settings may be too _______ - ANShigh
Respiratory acidosis means ventilator settings may be too _______ - ANSlow
What does "wean" mean? - ANSgradually decrease with the goal of getting off altogether
What is Maslow's highest priority to lowest priority? - ANS1. Physiological
2. Safety
3. Comfort
4. Psychological (problems within the person)
5. Social (problems with other people)
6. Spiritual
Arrange from highest to lowest priority using Maslow's:
Denial
Spiritual Distress
Pain in Elbow
Fall Risk
Pathological Family Dynamics
Electrolyte Imbalance - ANSElectrolyte Imbalance (Physiological)
Fall Risk (Safety)
Pain in Elbow (Comfort)
Denial (Psychological)
Pathological Family Dynamics (Social)
Spiritual Distress (Spiritual)
What are the 5 stages of grief? - ANSDenial
Anger
Bargain
Depression
Acceptance
The #1 problem in abuse is _______ - ANSdenial
Denial is the _______ to accept the _______ of their problem - ANSrefusal, reality
