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NUR 2392 / NUR2392 Exam 2: Multidimensional Care II (MDC 2) | Rasmussen University | 2026/2027 Study Guide, Questions & Detailed Answers

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NUR 2392 / NUR2392 Exam 2: Multidimensional Care II (MDC 2) | Rasmussen University | 2026/2027 Study Guide, Questions & Detailed Answers

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NUR 2392 / NUR2392 Exam 2: Multidimensional
Care II (MDC 2) | Rasmussen University |
2026/2027 Study Guide, Questions & Detailed
Answers

Uncompensated

pH and one other value is abnormal




Partial compensation

pH, CO2, and HCO3 are all off




Full compensation

pH is normal




Acidosis

reduces the excitability of cardiovascular muscle, neurons, skeletal muscle, and smooth muscle.




Alkalosis

increases the sensitivity of excitable tissues allowing them to OVERRESPOND without
stimulation

, ABG considerations

- Assess cardiovascular w/ acidosis (cardiac arrest from hyperkalemia)

- Assess neuro status

- Fall precautions




Bicarb HC03

kidney compensation (slow and powerful)




Respiratory PaC02

Respiratory compensation (fast but limited)




Metabolic acidosis causes

DKA, Starvation, diarrhea, kidney failure, dehydration, liver failure, pancreatitis, heavy exercise,
seizure activity, fever, hypoxia, ischemia, ethanol/methanol intoxication




Metabolic acidosis signs and symptoms

bradycardia, hypotension, thready pulse, CNS depression, hyporeflexia, kussmal resp (with resp
compensation), warm, flushed, dry skin.




Metabolic acidosis treatment

hydration and medication to treat underlying problems (DKA - give insulin).

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