WKU MED SURG 2 EXAM 1 EXAM SCRIPT
FINAL PAPER QUESTIONS ANSWERS
COMPREHENSIVE STUDY RESOURCE
●● Respiratory acidosis clinical manifestaions
Answer: confusion, anxiety, cyanotic, coma
●● respiratory acidosis interventions
Answer: maintain patent airway, reversal agent for narcotics, regulate
vent therapy, bronchodilators, mucolytics
●● Respiratory alkalosis risk factors
Answer: hyperventilation (anxiety, head trauma, salicylate toxicity),
hypoxemia (PNA, altitude sickness, shock, asphyxiation)
●● Respiratory alkalosis interventions
Answer: Regulate 02 therapy, reduce anxiety, rebreathing techniques
●● metabolic acidosis risk factors
Answer: DKA, starvation, lactic acidosis (seizures), kidney/liver failure,
diarrhea, overdose (salicylates or ethanol, pancreatitis, liver failure
, ●● metabolic acidosis clinical manifestations
Answer: bradycardia, weak pulses, hypotension, tachypnea, confusion,
flaccid paralysis, drowsiness, warm flushed skin, kussmaul's respirations
●● Metabolic acidosis interventions
Answer: treat underlying causes. adminster fluids, electrolyes, sodium
bicarbonate (1 mEq/kg)
●● metabolic alkalosis risk factors
Answer: ingestion of antacids, GI suction (acid deficit), hypokalemia,
TPN, blood transfusion, prolonged vomiting
●● metabolic alkalosis clinical manifestations
Answer: tachycardia, numbness, tingling, tetany/hyperreflexia,
confusion, convulsions
●● metabolic alkalosis interventions
Answer: treat underlying cause, administer fluids, antiemetics,
electrolytes
●● respiratory system diagnostic procedures
Answer: pulmonary function test, chest x rays, sputum culture. CT scan.
MRI, ABGs. Bronchoscopy, thoracentesis
FINAL PAPER QUESTIONS ANSWERS
COMPREHENSIVE STUDY RESOURCE
●● Respiratory acidosis clinical manifestaions
Answer: confusion, anxiety, cyanotic, coma
●● respiratory acidosis interventions
Answer: maintain patent airway, reversal agent for narcotics, regulate
vent therapy, bronchodilators, mucolytics
●● Respiratory alkalosis risk factors
Answer: hyperventilation (anxiety, head trauma, salicylate toxicity),
hypoxemia (PNA, altitude sickness, shock, asphyxiation)
●● Respiratory alkalosis interventions
Answer: Regulate 02 therapy, reduce anxiety, rebreathing techniques
●● metabolic acidosis risk factors
Answer: DKA, starvation, lactic acidosis (seizures), kidney/liver failure,
diarrhea, overdose (salicylates or ethanol, pancreatitis, liver failure
, ●● metabolic acidosis clinical manifestations
Answer: bradycardia, weak pulses, hypotension, tachypnea, confusion,
flaccid paralysis, drowsiness, warm flushed skin, kussmaul's respirations
●● Metabolic acidosis interventions
Answer: treat underlying causes. adminster fluids, electrolyes, sodium
bicarbonate (1 mEq/kg)
●● metabolic alkalosis risk factors
Answer: ingestion of antacids, GI suction (acid deficit), hypokalemia,
TPN, blood transfusion, prolonged vomiting
●● metabolic alkalosis clinical manifestations
Answer: tachycardia, numbness, tingling, tetany/hyperreflexia,
confusion, convulsions
●● metabolic alkalosis interventions
Answer: treat underlying cause, administer fluids, antiemetics,
electrolytes
●● respiratory system diagnostic procedures
Answer: pulmonary function test, chest x rays, sputum culture. CT scan.
MRI, ABGs. Bronchoscopy, thoracentesis