Multidimensional Nursing 2 Exam 2
Hypovolemia will have low BP and elevated HR
True or False - ANSTrue
Pulse usually bounding, and blood pressure can be within normal range or lowered
There is no relationship between electrolyte imbalances Trousseau or Chvostek's sign
True or False - ANSFalse
Diet has nothing to do with hypovolemia
True or False - ANSFalse
Sodium Lab Values - ANS135-145
Hyponatremic: <135
Hypernatremic: >145
Fluid restriction is used for hypokalemia
True or False - ANSFalse
pH 7.43
PaCO2 52
HCO3 33 - ANSFully compensated metabolic acidosis
Asthma causes metabolic alkalosis - ANSFalse
Asthma causes metabolic acidosis
ABCs - ANSAirway
Breathing
Circulation
PTs with metabolic disorders do NOT need nutritional support
True or False - ANSFalse
Educate patients on which foods to consume based on potential electrolyte imbalances
A hypertonic solution is appropriate for dehydration
True or False - ANSFalse
Potassium Lab Values - ANS3.5-5
Hypokalemic: <3.5
Hyperkalemic: >5
Cardiac arrhythmias are associated with potassium electrolyte imbalances
, True or False - ANSTrue
Hyperkalemia: Ventricular Fibrillation
The primary electrolyte imbalance to monitor for dialysis PTs is hyponatremia
True or False - ANSFalse
Colloids is the expected solution for DKA
True or False - ANSFalse
Colloids is the expected solution for hypovolemia/ hypovolemic shock
Respiratory Alkalosis causes tall T waves
True or False - ANSFalse
Flattens T waves
IV fluids that can be used with hypernatremia - ANSIsotonic Saline
Respiratory Acidosis - ANSHypoventilation
Increase CO2
Increase or normal HCO3
Chronically seen in PTs w/ pulmonary disease, sleep apnea, and obesity
Respiratory Acidosis Symptoms - ANSTachycardia
Hypertension
Ventricular Fib
Anxiety
Irritability
Confusion
Ineffective, Shallow, Rapid Breathing
Pale or Cyanotic
As acidosis worsens bradycardia, hypotension, lethargy, and possible coma develop
Respiratory Acidosis Nursing Interventions - ANSOxygen Therapy
Maintain Patent Airway
Enhance Gas Exchange:
Positioning
Breathing Techniques
Ventilator Support
Bronchodilators
Mucolytics
Respiratory Alkalosis - ANSHyperventilation
Hypoxemia
Hypovolemia will have low BP and elevated HR
True or False - ANSTrue
Pulse usually bounding, and blood pressure can be within normal range or lowered
There is no relationship between electrolyte imbalances Trousseau or Chvostek's sign
True or False - ANSFalse
Diet has nothing to do with hypovolemia
True or False - ANSFalse
Sodium Lab Values - ANS135-145
Hyponatremic: <135
Hypernatremic: >145
Fluid restriction is used for hypokalemia
True or False - ANSFalse
pH 7.43
PaCO2 52
HCO3 33 - ANSFully compensated metabolic acidosis
Asthma causes metabolic alkalosis - ANSFalse
Asthma causes metabolic acidosis
ABCs - ANSAirway
Breathing
Circulation
PTs with metabolic disorders do NOT need nutritional support
True or False - ANSFalse
Educate patients on which foods to consume based on potential electrolyte imbalances
A hypertonic solution is appropriate for dehydration
True or False - ANSFalse
Potassium Lab Values - ANS3.5-5
Hypokalemic: <3.5
Hyperkalemic: >5
Cardiac arrhythmias are associated with potassium electrolyte imbalances
, True or False - ANSTrue
Hyperkalemia: Ventricular Fibrillation
The primary electrolyte imbalance to monitor for dialysis PTs is hyponatremia
True or False - ANSFalse
Colloids is the expected solution for DKA
True or False - ANSFalse
Colloids is the expected solution for hypovolemia/ hypovolemic shock
Respiratory Alkalosis causes tall T waves
True or False - ANSFalse
Flattens T waves
IV fluids that can be used with hypernatremia - ANSIsotonic Saline
Respiratory Acidosis - ANSHypoventilation
Increase CO2
Increase or normal HCO3
Chronically seen in PTs w/ pulmonary disease, sleep apnea, and obesity
Respiratory Acidosis Symptoms - ANSTachycardia
Hypertension
Ventricular Fib
Anxiety
Irritability
Confusion
Ineffective, Shallow, Rapid Breathing
Pale or Cyanotic
As acidosis worsens bradycardia, hypotension, lethargy, and possible coma develop
Respiratory Acidosis Nursing Interventions - ANSOxygen Therapy
Maintain Patent Airway
Enhance Gas Exchange:
Positioning
Breathing Techniques
Ventilator Support
Bronchodilators
Mucolytics
Respiratory Alkalosis - ANSHyperventilation
Hypoxemia
