Exam Questions And Correct Answers
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Third spacing - Answer The accumulation and sequestration of trapped extracellular fluid in an
actual or potential body space as a result of disease or injury.
Potassium chloride consideration - Answer Never given IV push or IM injection.
Hypocalcemia signs - Answer - Trousseau sign
- Chvostek sign
Trousseau sign - Answer - Sign of hypocalcemia
- Blood pressure cuff is inflated above the systolic BP for 2 minutes and the patients hand flexes.
Chvostek sign - Answer - Sign of hypocalcemia
- Tap the side of the patients face on the facial nerve and the face will twitch
During administration of magnesium - Answer - Monitor for diminished deep tendon reflexes
- This indicates hypermagnesemia
Decreased serum phosphorus - Answer Results in increased calcium.
Increased serum phosphorus - Answer Decrease in serum calcium.
Electrolyte consideration during acidosis - Answer Potassium levels increase.
Electrolyte consideration during alkalosis - Answer Potassium levels decrease.
, - Respiratory rate and depth decrease
Conditions that obstruct or diminish respiratory efforts - Answer - Result in acidosis
- Accumulation of CO2
Conditions that overstimulate respiratory efforts - Answer - Cause alkalosis
- Loss of too much CO2
DM and DKA can cause - Answer Metabolic acidosis.
Some causes of metabolic acidosis - Answer - Diuretics
- Excessive vomiting
- GI suctioning
Before a blood draw from a radial artery - Answer Perform an allen test.
Allen test - Answer - Nurse obstructs blood flow in the radial and ulnar arteries and has the
patient make a fist
- Patient relaxes their hand while the nurse maintains pressure on both arteries
- The nurse releases pressure on one artery and observes the color change in the patients hand
- This assess the patency of the released artery
Increased central venous pressure causes - Answer - Excessive blood volume from sodium and
fluid retention
- Kidney failure
- Excessive IV fluids
Shockable rhythms - Answer - V-fib
- Pulseless V-tach
During defibrillation - Answer No one can be in contact with the bed or client.