FINAL Exam WITH ACTUAL
SOLUTIONS.
YouAhaveAaApatientAwhoAwasAadmittedAfromAtheAER,AwhichAlabsAshouldAyouAnotifyAtheAdoctorAabout
a.ASodiumA142
b.ABUNA23
c.ACreatinineA1.5
d.APotassiumA4.0A-AcorrectAanswers-Answer:AB,AC,AD
NormalArangeAofAsodiumAisA135AtoA145
BUNAWNLAValue?A-AcorrectAanswers-GenerallyA-A7AtoA20AmgA/AdlAisAwithinAnormalAlimits
CreatinineAWHNAValue?A-AcorrectAanswers-
MalesA0.6Amg/dlAtoA1.2Amg/ldAFemalesA0.5Amg/dlAtoA1.1Amg/dl
MagnesiumAWNLAbloodAserumAconcentration?A-AcorrectAanswers-5AtoA6Ameq/L
SymptomsAandASignsAofAHYPERmagnesemia?ASATA
AA-Ahypotension
BA-ABradycardia
CA-ARespiratoryADepression
DA-ACardiacAarrest
EA-ASeizuresA-AcorrectAanswers-A,AB,AC,AD
SeizuresAareAnotAcommonlyAassociatedAwithAhypermagnesemia.
Mrs.AFloyd,AandA85AyearAoldAwoman,AisAbroughtAintoAtheAE.R.AcomplainingAofAsevereAmuscleAcramping,A
numbness,AandAtingling.ASheAstatesAthatAsheAhadAbeenAsickAaAfewAdaysAagoAwithAsevereAdiarrheaAandAv
omiting.AWhichAofAtheAfollowingAelectrolyteAdeficienciesAisAMrs.AFloydAexperiencing?
A.Hypercalcemia
B.Hypomagnesia
, C.AHypermagnesia
D.AHypocalcemiaA-AcorrectAanswers-
Answer:AD.AHypocalcemiaAcanAbeAcausedAbyAlossAofAbodyAfluidsAandAisAcharacterizedAbyAmuscleAcrampi
ng,AnumbnessAandAtingling
AApatientAisAshowingAaApositiveAChvostekAsign.AWhatAisAthisAaAsignAof?
A.Ahyerpkalemia
B.Ahypocalcemia
C.Ahypercalcemia
D.AhypokalemiaA-AcorrectAanswers-Hypocalcemia
WhatAtestAdoAyouAuseAtoAtestAforAhypocalcemia?A-AcorrectAanswers-ChvostekAsignA-
tapAtheAsideAofAneckAgentlyAandAobserveAforAfacialAtwitching.ATestsAforAhypocalcemiaAandAtetany.
ChvostekA=ACheek
WhatAotherAtestAcanAyouAuseAtoAtestAforAhypocalcemia?A-AcorrectAanswers-Trousseau'sASign
UponAassessment,AyouAnoticeAyourApatientAhasAaAdecreasedAurinaryAoutput,AskinAtnetingAandAbounding
Apulses.AWhatAtypeAofAfluidsAdoAyouAanticipateAtheAdoctorAwillAorder?A-AcorrectAanswers-IsotonicA-
AtheApatient'sAassessmentAinfersAtheyAareAdehydratedA-
AisotonicAsolutinosAwouldAbeAusedAtoArehydrateAtheApatient.
WhichAareApotentialAomplicationsAofAIVATherapyA(selectAallAthatAapply)
A.AThrombosis
B.AVancomycin
C.AAmoxicillin
D.APhlebitisA-AcorrectAanswers-A,AB,AD
WhenAaApatientAisAonATPN,AwhatAdoAyouAneedAtoAmonitorA(selectAallAthatAapply)
a.ABloodAsugar
b.APotassium
c.ACreatinine
d.ASodiumA-AcorrectAanswers-A,AB,AD
IfAyourApatientAbeginsAtoAexperienceAmalignantAhyperthermia,AwhichAmedicationAwouldAyouAgive?