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Exam (elaborations)

Rasmussen MDC 2 SECOND TEST

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Rasmussen MDC 2 SECOND TEST A patient is suffering from nausea, vomiting, and diarrhea, what electrolyte imbalance would you expect? - HYPOKALEMIA The nurse notes a positive CHVOSTEKS sign in her patient, which electrolyte imbalance is the patient suffering from? - HYPOCALCEMIA Trosseau's sign - latent tetany is most commonly positive in the setting of hypocalcemia.[1] The sign is observable as a carpopedal spasm induced by ischemia secondary to the inflation of a sphygmomanometer cuff, commonly on an individual's arm, to 20 mmHg over their systolic blood pressure for 3 minutes. A patient is suffering from dehydration which fluids would you expect to administer? - ISOTONIC A patient is suffering from a bowel obstruction and is currently being treated with an NG tube, what imbalance? - METABOLIC ACIDOSIS Which imbalance would result in aspirin toxicity? - METABOLIC ACIDOSIS or respiratory alkalosis (Aspirin has a direct effect on the respiratory center in the brain leading to hyperventilation.) A patient suffering from diarrhea would have which imbalance? - METABOLIC ACIDOSIS A patient suffering from an anxiety attack would be suffering from which imbalance? - RESPIRATORY ALKALOSIS (HYPERVENTILATION) Your patient is suffering from HYPOmagnesmia and HYPOcalcemia what assessment technique would be positive? - TYROUSSEAU'S Sign A patient just had surgery and is receiving IV pain medication, which acid base balance is he at risk for? - Respiratory Acidosis A patient is battling End Stage Liver Cancer, which acid base imbalance would you expect to see? - Metabolic Acidosis A 3-year-old is admitted to the emergency department for choking on a hotdog, what acid base imbalance could we expect? - RESPIRATORY ACIDOSIS (cant breathe) A patient is diagnosed with metabolic acidosis, what treatment would be expected to be ordered? - HYDRATION A patient is admitted with tachycardia, hypotension, cough, and fever with 100 mL output in 12 hours. - HYPOvolemia A patient is suffering from nausea, vomiting, and diarrhea, what fluids would you administer? - ISOTONIC A patient is admitted with an exacerbation of asthma, what is the priority diagnosis? - SECURE AIRWAY A patient is diagnosed with HYPERnatremia, what symptoms would you expect to see? - INCREASE THIRTS A patient is diagnosed with HYPOkalemia, foods can you recommend to this patient? - BANANAS A patient is suffering from respiratory alkalosis, what assessment finding is consistent? - Low to Normal Blood Pressure A patient has an NG tube intermittent suction, what acid base imbalance is she at risk for? - METABOLIC ALKALOSIS (you're getting acids of the stomach out) ----LAB VALUE HYPOKALEMIA----- A patient is suffering from diarrhea due to food poisoning, what acid base imbalance would you expect? - METABOLIC ACIDOSIS A patient is showing tall T waves on the EKG, what acid base imbalance is occurring? - METABOLIC ACIDOSIS What intervention is appropriate for a patient with Metabolic Acidosis? - Replace fluids and electrolytes A patient is suffering from metabolic acidosis, which symptom is appropriate? - Kussmauls respirations (is characterized by a deep, rapid breathing pattern. It is typically an indication that the body or organs have become too ACIDIC. In an attempt to expel carbon dioxide, which is an acidic compound in blood, the body starts to breathe faster and deeper.) A patient reports 4 lbs. weight gain, what would be the suspected diagnosis? - HYPERVOLEMIA Trousseau's sign is elicited by? - Using

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