Mark Klimek NCLEX Review- Lecture/Yellow Book Questions & Answers Already Graded A+

Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is meta_____ - Answer-pH, Bicarb, Both, Bolic pH 7.30_______ HCO3 20_______ - Answer-↓= acidosis; ↓= metabolic pH 7.58_______ HCO3 32_______ - Answer-↑= alkalosis; ↑= metabolic pH 7.22_______ HCO3 30_______ - Answer-↓= acidosis; ↑= respiratory You are providing care to a client with the following blood gas results: pH 7.32, CO2 49, HCO3 29, PO2 80, and SaO2 90%. Based on these results, the client is experiencing: - Answer-↓= acidosis; ↑= respiratory MacKussmaul - Answer-The only acid base to cause Kussmaul respirations is Metabolic ACidosis As the _______ goes, so goes _______ except for _______ - Answer-pH, my patient, Potassium Up - Answer-hyokalemia, alkalosis, HTN, Tachycardia, Tachypnea, Seizures, Irritability, Spastic, Diarrhea, Borborygme, hyperreflexia, etc Down - Answer-hyperkalemia, acidosis, htn, bradycardia, constipation, absent bowel sounds, flacid, bradypnea Causes of acid-base imbalances: First ask yourself, "Is it _______?" If yes, then it's _______. Then ask yourself: "Are they _______ or _______. If _______, pick _______. If _______, pick _______ - Answerlung, respiratory, overventilating, underventilating, overventilating, alkalosis, underventilating, acidosisCauses of acid-base imbalances: If it's not lung, then it's _______. If the patient has _______ _______ vomiting or suction, pick _______. For everything else that isn't lung, pick _______ _______. When you don't know what to pick, choose _______ _______ - Answer-metabolic, prolonged gastric, alkalosis, metabolic acidosis, metabolic acidosis High pressure alarms are triggered by _______ resistance to air flow. - Answer-increased High pressure alarms are triggered by increased resistance to airflow and can be caused by obstructions of three types: _______ action, _______ action, _______ action - Answer-(kinked tube) unkink, (water in tube) empty, (mucus in airway) cough and deep breathe Low pressure alarms are triggered by _______ resistance to airflow. - Answer-decreased Low pressure alarms are triggered by decreased resistance to airflow and can be caused by disconnections of the _______ or _______ - Answer-tubing (reconnect it), oxygen sensor tube (reconnect it UNLESS tube is on the floor- bag them and call RT if this happens) Respiratory alkalosis means ventilator settings may be too _______ - Answer-high