Rasmussen MDC 2 SECOND TEST
1. A patient is suffering from nausea, vomiting, and diarrhea, what
electrolyte imbalance would you expect?: HYPOKALEMIA
2. The nurse notes a positive CHVOSTEKS sign in her patient, which
electrolyte imbalance is the patient suffering from?: HYPOCALCEMIA
3. CHVOSTEKS sign: is contraction of facial muscles provoked by lightly tapping
over the facial nerve anterior to the ear as it crosses the zygomatic arch. This
induces twitching of the homolateral facial muscles due to hyperexcitability of
the nerve.
4. Trosseau's sign: latent tetany is most commonly positive in the setting of
hypocalcemia.[1] The sign is observable as a carpopedal spasm induced by
ischemia secondary to the inflation of a sphygmomanometer cuff, commonly on
an individual's arm, to 20 mmHg over their systolic blood pressure for 3
minutes.
5. A patient is suffering from dehydration which fluids would you expect to
administer?: ISOTONIC
6. A patient is suffering from a bowel obstruction and is currently being
treated with an NG tube, what imbalance?: METABOLIC ACIDOSIS
7. Which imbalance would result in aspirin toxicity?: METABOLIC ACIDOSIS
or respiratory alkalosis
(Aspirin has a direct effect on the respiratory center in the brain leading to
hyperventilation.)
8. A patient suffering from diarrhea would have which imbalance?:
METABOL-
IC ACIDOSIS
9. A patient suffering from an anxiety attack would be suffering from which
imbalance?: RESPIRATORY ALKALOSIS (HYPERVENTILATION)
10. Your patient is suffering from HYPOmagnesmia and HYPOcalcemia
what assessment technique would be positive?: TYROUSSEAU'S Sign
11. A patient just had surgery and is receiving IV pain medication, which
acid base balance is he at risk for?: Respiratory Acidosis
12. A patient is battling End Stage Liver Cancer, which acid base imbalance
would you expect to see?: Metabolic Acidosis
, 13. A 3-year-old is admitted to the emergency department for choking on a
hotdog, what acid base imbalance could we expect?: RESPIRATORY
ACIDOSIS (cant breathe)
14. A patient is diagnosed with metabolic acidosis, what treatment would
be expected to be ordered?: HYDRATION
15 A patient is admitted with tachycardia, hypotension, cough, and fever
with
100 mL output in 12 hours.: HYPOvolemia
16. A patient is suffering from nausea, vomiting, and diarrhea, what fluids
would you administer?: ISOTONIC
17. A patient is admitted with an exacerbation of asthma, what is the priority
diagnosis?: SECURE AIRWAY
18. A patient is diagnosed with HYPERnatremia, what symptoms would you
expect to see?: INCREASE THIRTS
19. A patient is diagnosed with HYPOkalemia, foods can you recommend to
this patient?: BANANAS
20. A patient is suffering from respiratory alkalosis, what assessment
finding is consistent?: Low to Normal Blood Pressure
21. A patient has an NG tube intermittent suction, what acid base imbalance
is she at risk for?: METABOLIC ALKALOSIS (you're getting acids of the
stomach out)
----LAB VALUE HYPOKALEMIA-----
22. A patient is suffering from diarrhea due to food poisoning, what acid
base imbalance would you expect?: METABOLIC ACIDOSIS
23. A patient is showing tall T waves on the EKG, what acid base imbalance
is occurring?: METABOLIC ACIDOSIS
24. What intervention is appropriate for a patient with Metabolic Acidosis?: -
Replace fluids and electrolytes
25. A patient is suffering from metabolic acidosis, which symptom is
appropriate?: Kussmauls respirations (is characterized by a deep, rapid
breathing pattern. It is typically an indication that the body or organs have
become too ACIDIC. In an attempt to expel carbon dioxide, which is an acidic
compound in blood, the body starts to breathe faster and deeper.)
26. A patient reports 4 lbs. weight gain, what would be the suspected
diagnosis?: HYPERVOLEMIA
27. Trousseau's sign is elicited by?: Using a blood pressure cuff to the patients
arm
1. A patient is suffering from nausea, vomiting, and diarrhea, what
electrolyte imbalance would you expect?: HYPOKALEMIA
2. The nurse notes a positive CHVOSTEKS sign in her patient, which
electrolyte imbalance is the patient suffering from?: HYPOCALCEMIA
3. CHVOSTEKS sign: is contraction of facial muscles provoked by lightly tapping
over the facial nerve anterior to the ear as it crosses the zygomatic arch. This
induces twitching of the homolateral facial muscles due to hyperexcitability of
the nerve.
4. Trosseau's sign: latent tetany is most commonly positive in the setting of
hypocalcemia.[1] The sign is observable as a carpopedal spasm induced by
ischemia secondary to the inflation of a sphygmomanometer cuff, commonly on
an individual's arm, to 20 mmHg over their systolic blood pressure for 3
minutes.
5. A patient is suffering from dehydration which fluids would you expect to
administer?: ISOTONIC
6. A patient is suffering from a bowel obstruction and is currently being
treated with an NG tube, what imbalance?: METABOLIC ACIDOSIS
7. Which imbalance would result in aspirin toxicity?: METABOLIC ACIDOSIS
or respiratory alkalosis
(Aspirin has a direct effect on the respiratory center in the brain leading to
hyperventilation.)
8. A patient suffering from diarrhea would have which imbalance?:
METABOL-
IC ACIDOSIS
9. A patient suffering from an anxiety attack would be suffering from which
imbalance?: RESPIRATORY ALKALOSIS (HYPERVENTILATION)
10. Your patient is suffering from HYPOmagnesmia and HYPOcalcemia
what assessment technique would be positive?: TYROUSSEAU'S Sign
11. A patient just had surgery and is receiving IV pain medication, which
acid base balance is he at risk for?: Respiratory Acidosis
12. A patient is battling End Stage Liver Cancer, which acid base imbalance
would you expect to see?: Metabolic Acidosis
, 13. A 3-year-old is admitted to the emergency department for choking on a
hotdog, what acid base imbalance could we expect?: RESPIRATORY
ACIDOSIS (cant breathe)
14. A patient is diagnosed with metabolic acidosis, what treatment would
be expected to be ordered?: HYDRATION
15 A patient is admitted with tachycardia, hypotension, cough, and fever
with
100 mL output in 12 hours.: HYPOvolemia
16. A patient is suffering from nausea, vomiting, and diarrhea, what fluids
would you administer?: ISOTONIC
17. A patient is admitted with an exacerbation of asthma, what is the priority
diagnosis?: SECURE AIRWAY
18. A patient is diagnosed with HYPERnatremia, what symptoms would you
expect to see?: INCREASE THIRTS
19. A patient is diagnosed with HYPOkalemia, foods can you recommend to
this patient?: BANANAS
20. A patient is suffering from respiratory alkalosis, what assessment
finding is consistent?: Low to Normal Blood Pressure
21. A patient has an NG tube intermittent suction, what acid base imbalance
is she at risk for?: METABOLIC ALKALOSIS (you're getting acids of the
stomach out)
----LAB VALUE HYPOKALEMIA-----
22. A patient is suffering from diarrhea due to food poisoning, what acid
base imbalance would you expect?: METABOLIC ACIDOSIS
23. A patient is showing tall T waves on the EKG, what acid base imbalance
is occurring?: METABOLIC ACIDOSIS
24. What intervention is appropriate for a patient with Metabolic Acidosis?: -
Replace fluids and electrolytes
25. A patient is suffering from metabolic acidosis, which symptom is
appropriate?: Kussmauls respirations (is characterized by a deep, rapid
breathing pattern. It is typically an indication that the body or organs have
become too ACIDIC. In an attempt to expel carbon dioxide, which is an acidic
compound in blood, the body starts to breathe faster and deeper.)
26. A patient reports 4 lbs. weight gain, what would be the suspected
diagnosis?: HYPERVOLEMIA
27. Trousseau's sign is elicited by?: Using a blood pressure cuff to the patients
arm