NUR2392 Multidimensional Care II Exam
2 Questions With Correct Answers
Uncompensated ||- ||CORRECT ||ANSWER✔✔-pH ||and ||one ||other ||value ||is ||abnormal
Partial ||compensation ||- ||CORRECT ||ANSWER✔✔-pH, ||CO2, ||and ||HCO3 ||are ||all ||off
Full ||compensation ||- ||CORRECT ||ANSWER✔✔-pH ||is ||normal
Acidosis ||- ||CORRECT ||ANSWER✔✔-reduces ||the ||excitability ||of ||cardiovascular ||muscle, ||
neurons, ||skeletal ||muscle, ||and ||smooth ||muscle.
Alkalosis ||- ||CORRECT ||ANSWER✔✔-increases ||the ||sensitivity ||of ||excitable ||tissues ||allowing ||
them ||to ||OVERRESPOND ||without ||stimulation
ABG ||considerations ||- ||CORRECT ||ANSWER✔✔-- ||Assess ||cardiovascular ||w/ ||acidosis ||(cardiac ||
arrest ||from ||hyperkalemia)
- ||Assess ||neuro ||status
- ||Fall ||precautions
Bicarb ||HC03 ||- ||CORRECT ||ANSWER✔✔-kidney ||compensation ||(slow ||and ||powerful)
Respiratory ||PaC02 ||- ||CORRECT ||ANSWER✔✔-Respiratory ||compensation ||(fast ||but ||limited)
Metabolic ||acidosis ||causes ||- ||CORRECT ||ANSWER✔✔-DKA, ||Starvation, ||diarrhea, ||kidney ||
failure, ||dehydration, ||liver ||failure, ||pancreatitis, ||heavy ||exercise, ||seizure ||activity, ||fever, ||
hypoxia, ||ischemia, ||ethanol/methanol ||intoxication
, Metabolic ||acidosis ||signs ||and ||symptoms ||- ||CORRECT ||ANSWER✔✔-bradycardia, ||hypotension,
||thready ||pulse, ||CNS ||depression, ||hyporeflexia, ||kussmal ||resp ||(with ||resp ||compensation), ||
warm, ||flushed, ||dry ||skin.
Metabolic ||acidosis ||treatment ||- ||CORRECT ||ANSWER✔✔-hydration ||and ||medication ||to ||treat ||
underlying ||problems ||(DKA ||- ||give ||insulin).
Metabolic ||alkalosis ||causes ||- ||CORRECT ||ANSWER✔✔-antacids, ||blood ||transfusion, ||sodium ||
bicarbonate, ||total ||parenteral ||nutrition ||(TPN), ||prolonged ||vomiting, ||nasogastric ||suctioning, ||
hypercortisolism, ||hyperaldosteronism, ||Loop/Thiazide ||diuretics.
Metabolic ||Alkalosis ||s/s ||- ||CORRECT ||ANSWER✔✔-anxiety, ||irritability, ||tetany, ||seizures, ||
POSITIVE ||CHVOSTEK, ||POSITIVE ||TROUSSEAU, ||parathesis, ||hyperreflexia, ||muscle
||cramping/twitching, ||skeletal ||muscle ||weakness, ||Tachycardia, ||norm/low ||BP, ||increased ||
Digoxin ||toxicity, ||decreased ||respiratory ||effort ||(muscle ||weakness).
metabolic ||alkalosis ||treatment ||- ||CORRECT ||ANSWER✔✔-restore ||fluid/electrolyte ||imbalances
Respiratory ||acidosis ||cause ||- ||CORRECT ||ANSWER✔✔-Opioids, ||anesthetics, ||electrolyte ||
imbalance, ||inadequate ||chest ||expansion, ||muscle ||weakness, ||airway ||obstruction, ||alveolar-
capillary ||block.
Respiratory ||acidosis ||s/s ||- ||CORRECT ||ANSWER✔✔-bradycardia, ||hypotension, ||thready ||pulse, ||
CNS ||depression, ||hyporeflexia, ||ineffective ||respirations, ||pale-to-cyanotic ||dry ||skin.
Respiratory ||acidosis ||treatment ||- ||CORRECT ||ANSWER✔✔-(Assess ||airway) ||Improve ||gas ||
exchange, ||drug ||therapy ||(bronchodilators, ||anti-inflammatory), ||oxygen ||therapy ||(lowest ||flow ||
possible), ||ventilation.
2 Questions With Correct Answers
Uncompensated ||- ||CORRECT ||ANSWER✔✔-pH ||and ||one ||other ||value ||is ||abnormal
Partial ||compensation ||- ||CORRECT ||ANSWER✔✔-pH, ||CO2, ||and ||HCO3 ||are ||all ||off
Full ||compensation ||- ||CORRECT ||ANSWER✔✔-pH ||is ||normal
Acidosis ||- ||CORRECT ||ANSWER✔✔-reduces ||the ||excitability ||of ||cardiovascular ||muscle, ||
neurons, ||skeletal ||muscle, ||and ||smooth ||muscle.
Alkalosis ||- ||CORRECT ||ANSWER✔✔-increases ||the ||sensitivity ||of ||excitable ||tissues ||allowing ||
them ||to ||OVERRESPOND ||without ||stimulation
ABG ||considerations ||- ||CORRECT ||ANSWER✔✔-- ||Assess ||cardiovascular ||w/ ||acidosis ||(cardiac ||
arrest ||from ||hyperkalemia)
- ||Assess ||neuro ||status
- ||Fall ||precautions
Bicarb ||HC03 ||- ||CORRECT ||ANSWER✔✔-kidney ||compensation ||(slow ||and ||powerful)
Respiratory ||PaC02 ||- ||CORRECT ||ANSWER✔✔-Respiratory ||compensation ||(fast ||but ||limited)
Metabolic ||acidosis ||causes ||- ||CORRECT ||ANSWER✔✔-DKA, ||Starvation, ||diarrhea, ||kidney ||
failure, ||dehydration, ||liver ||failure, ||pancreatitis, ||heavy ||exercise, ||seizure ||activity, ||fever, ||
hypoxia, ||ischemia, ||ethanol/methanol ||intoxication
, Metabolic ||acidosis ||signs ||and ||symptoms ||- ||CORRECT ||ANSWER✔✔-bradycardia, ||hypotension,
||thready ||pulse, ||CNS ||depression, ||hyporeflexia, ||kussmal ||resp ||(with ||resp ||compensation), ||
warm, ||flushed, ||dry ||skin.
Metabolic ||acidosis ||treatment ||- ||CORRECT ||ANSWER✔✔-hydration ||and ||medication ||to ||treat ||
underlying ||problems ||(DKA ||- ||give ||insulin).
Metabolic ||alkalosis ||causes ||- ||CORRECT ||ANSWER✔✔-antacids, ||blood ||transfusion, ||sodium ||
bicarbonate, ||total ||parenteral ||nutrition ||(TPN), ||prolonged ||vomiting, ||nasogastric ||suctioning, ||
hypercortisolism, ||hyperaldosteronism, ||Loop/Thiazide ||diuretics.
Metabolic ||Alkalosis ||s/s ||- ||CORRECT ||ANSWER✔✔-anxiety, ||irritability, ||tetany, ||seizures, ||
POSITIVE ||CHVOSTEK, ||POSITIVE ||TROUSSEAU, ||parathesis, ||hyperreflexia, ||muscle
||cramping/twitching, ||skeletal ||muscle ||weakness, ||Tachycardia, ||norm/low ||BP, ||increased ||
Digoxin ||toxicity, ||decreased ||respiratory ||effort ||(muscle ||weakness).
metabolic ||alkalosis ||treatment ||- ||CORRECT ||ANSWER✔✔-restore ||fluid/electrolyte ||imbalances
Respiratory ||acidosis ||cause ||- ||CORRECT ||ANSWER✔✔-Opioids, ||anesthetics, ||electrolyte ||
imbalance, ||inadequate ||chest ||expansion, ||muscle ||weakness, ||airway ||obstruction, ||alveolar-
capillary ||block.
Respiratory ||acidosis ||s/s ||- ||CORRECT ||ANSWER✔✔-bradycardia, ||hypotension, ||thready ||pulse, ||
CNS ||depression, ||hyporeflexia, ||ineffective ||respirations, ||pale-to-cyanotic ||dry ||skin.
Respiratory ||acidosis ||treatment ||- ||CORRECT ||ANSWER✔✔-(Assess ||airway) ||Improve ||gas ||
exchange, ||drug ||therapy ||(bronchodilators, ||anti-inflammatory), ||oxygen ||therapy ||(lowest ||flow ||
possible), ||ventilation.
