Examl 1:l NRl 341/l NR341l (NEWl 2026/l
2027l Update)l Complexl Adultl Healthl
Guide|l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)l -
Chamberlain
QUESTION
normall ABGs
Answer:
phl =l 7.35-7.45l (7.4l isl thel middlel man)
CO2l =l 35-45
pO2l =l 80-100
HCO3l =l 22-26
O2l satl =l 95-100%
QUESTION
Ifl CO2l isl high,l willl thel patientl bel acidoticl orl alkalotic?
Answer:
theyl willl bel inl respiratoryl acidosisl becausel CO2l isl al gas..l ifl it'sl high,l they'lll bel inl
acidosis..l ifl it'sl low,l they'lll bel inl alkalosis
QUESTION
Isl 7.21l acidosisl orl alkalosis?
Answer:
acidosis..l morel thanl 7.45l wouldl bel alkalosis
,QUESTION
acidl basel mnemonicl (ROME)
Answer:
Rl -l respiratory
Ol -l oppositel
pHl high,l PaCO2l lowl =l alkalosis
pHl low,l PaCO2l highl =l acidosis
______________________________________________________
Ml -l metabolic
El -l equall
pHl high,l HCO3l highl =l alkalosis
pHl low,l HCO3l lowl =l acidosis
QUESTION
uncompensatedl metabolicl alkalosisl (onel thingl isl normal)
Answer:
phl =l 7.52
PaCO2l =l 35
HCO3l =l 29
QUESTION
partiallyl compensatedl metabolicl acidosisl (everythingl isl abnormal)
Answer:
phl =l 7.28
PACO2l =l 31
HCO3l =l 16
QUESTION
,fullyl compensatedl respiratoryl acidosisl (fullyl compensatedl becausel 7.39l isl normall butl
leaningl towardsl acidosis..l phl isl low,l PaCO2l isl highl sol it'sl respiratory)
Answer:
phl =l 7.39
PaCO2l =l 51
HCO3l =l 30
QUESTION
1.l fullyl compensated
2.l uncompensated
3.l partiallyl compensated
Answer:
1.l Whenl pHl isl normal,l whatl isl ABGl resultsl consideredl as?l
2.l Whenl pHl andl PaCO2l isl abnormall butl HCO3l isl normal,l whatl isl itl considered?
3.l Whenl pH,l PaCO2,l andl HCO3l isl abnormal,l whatl isl itl considered?
QUESTION
pneumothorax
Answer:
airl accumulatesl aroundl thel lungsl betweenl thel pleural
Riskl factors:
-l smoking
-l hxl ofl pneumothoraxl orl familyl hx
-l lungl diseases
-l mechanicall ventilation
Causes:
-l traumal tol thel chest
-l medicall procedurel donel tol thel chest
, -l lungl diseases
Manifestations:
-l tachycardia,l tachypneal
-l shallowl andl rapidl breathing
-l wheezing
-l coughing
-l dyspnea
-l absentl breathl soundsl onl thel affectedl side
Treatment:
-l raisel HOB
-l chestl tube
-l oxygen
Complications:
-l tensionl pneumothorax
QUESTION
tensionl pneumothorax
Answer:
occursl whenl airl entersl thel pleurall spacel duringl inspirationl throughl al one-wayl valvel
andl isl notl ablel tol exitl (trappedl air);l heartl andl lungsl arel beingl pushed;l needlel
aspiration/compression,l chestl tube;l EMERGENCY
QUESTION
statusl asthmaticus
Answer:
-l canl bel hypoxicl andl hypercapnicl
-l lifel threateningl episodel ofl airwayl obstructionl thatl mayl bel unresponsivel tol commonl
treatment
Nursingl considerations:
-l emergencyl intubation
-l IVl fluids,l oxygen,l bronchodilators,l sedation
2027l Update)l Complexl Adultl Healthl
Guide|l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)l -
Chamberlain
QUESTION
normall ABGs
Answer:
phl =l 7.35-7.45l (7.4l isl thel middlel man)
CO2l =l 35-45
pO2l =l 80-100
HCO3l =l 22-26
O2l satl =l 95-100%
QUESTION
Ifl CO2l isl high,l willl thel patientl bel acidoticl orl alkalotic?
Answer:
theyl willl bel inl respiratoryl acidosisl becausel CO2l isl al gas..l ifl it'sl high,l they'lll bel inl
acidosis..l ifl it'sl low,l they'lll bel inl alkalosis
QUESTION
Isl 7.21l acidosisl orl alkalosis?
Answer:
acidosis..l morel thanl 7.45l wouldl bel alkalosis
,QUESTION
acidl basel mnemonicl (ROME)
Answer:
Rl -l respiratory
Ol -l oppositel
pHl high,l PaCO2l lowl =l alkalosis
pHl low,l PaCO2l highl =l acidosis
______________________________________________________
Ml -l metabolic
El -l equall
pHl high,l HCO3l highl =l alkalosis
pHl low,l HCO3l lowl =l acidosis
QUESTION
uncompensatedl metabolicl alkalosisl (onel thingl isl normal)
Answer:
phl =l 7.52
PaCO2l =l 35
HCO3l =l 29
QUESTION
partiallyl compensatedl metabolicl acidosisl (everythingl isl abnormal)
Answer:
phl =l 7.28
PACO2l =l 31
HCO3l =l 16
QUESTION
,fullyl compensatedl respiratoryl acidosisl (fullyl compensatedl becausel 7.39l isl normall butl
leaningl towardsl acidosis..l phl isl low,l PaCO2l isl highl sol it'sl respiratory)
Answer:
phl =l 7.39
PaCO2l =l 51
HCO3l =l 30
QUESTION
1.l fullyl compensated
2.l uncompensated
3.l partiallyl compensated
Answer:
1.l Whenl pHl isl normal,l whatl isl ABGl resultsl consideredl as?l
2.l Whenl pHl andl PaCO2l isl abnormall butl HCO3l isl normal,l whatl isl itl considered?
3.l Whenl pH,l PaCO2,l andl HCO3l isl abnormal,l whatl isl itl considered?
QUESTION
pneumothorax
Answer:
airl accumulatesl aroundl thel lungsl betweenl thel pleural
Riskl factors:
-l smoking
-l hxl ofl pneumothoraxl orl familyl hx
-l lungl diseases
-l mechanicall ventilation
Causes:
-l traumal tol thel chest
-l medicall procedurel donel tol thel chest
, -l lungl diseases
Manifestations:
-l tachycardia,l tachypneal
-l shallowl andl rapidl breathing
-l wheezing
-l coughing
-l dyspnea
-l absentl breathl soundsl onl thel affectedl side
Treatment:
-l raisel HOB
-l chestl tube
-l oxygen
Complications:
-l tensionl pneumothorax
QUESTION
tensionl pneumothorax
Answer:
occursl whenl airl entersl thel pleurall spacel duringl inspirationl throughl al one-wayl valvel
andl isl notl ablel tol exitl (trappedl air);l heartl andl lungsl arel beingl pushed;l needlel
aspiration/compression,l chestl tube;l EMERGENCY
QUESTION
statusl asthmaticus
Answer:
-l canl bel hypoxicl andl hypercapnicl
-l lifel threateningl episodel ofl airwayl obstructionl thatl mayl bel unresponsivel tol commonl
treatment
Nursingl considerations:
-l emergencyl intubation
-l IVl fluids,l oxygen,l bronchodilators,l sedation
