Mark Klimek Lecture Outlines UPDATED
Exam Questions and CORRECT Answers
If the pH and the BiCarb are both in the same direction then it is? - Correct Answer-
Metabolic
If the pH is up it is? - Correct Answer- Alkalosis
If the pH is down it is? - Correct Answer- Acidosis
As the pH goes so goes my patient except for? - Correct Answer- Potassium
If the pH is up my patient with show signs and symptoms of? - Correct Answer- Increase...
like tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs and symtoms of? - Correct Answer- Decrease...
like decreased output, bradycardia and constipation
If my pH is up my potassium (K+) is ? - Correct Answer- Down
If my pH is down my potassium (K+) is? - Correct Answer- Up
If my patient is overventilating I should choose? - Correct Answer- Respiratory Alkalosis
If my patient is underventilating I should choose? - Correct Answer- Respiratory Acidosis
If my patient has prolonged gastric vomiting or suction I choose? - Correct Answer-
Metabolic Alkalosis
If it is not lung or prolonged vomiting or suctioning I choose? - Correct Answer- Metabolic
Acidosis
,High pressure alarms are triggered when? - Correct Answer- They cannot push air in
High pressure alarms are caused by what three types of obstructions? - Correct Answer-
Kinking, Water in dependant loops and mucus in the airway.
If kinking in the tube is present you? - Correct Answer- Unkink
If water is present in the dependant loops you? - Correct Answer- Open system and empty
water.
If mucus is present you? - Correct Answer- Turn them, cough and have them deeo breath
first. If ineffective you then suction.
Low pressure alarms are triggered when? - Correct Answer- It is to easy to push air in.
Low pressure alarms are normally caused by? - Correct Answer- Disconnection
If the tubing is disconnected you? - Correct Answer- Reconnect
If O2 sensor line is disconnected you? - Correct Answer- Reconnect
In a vented client respiratory alkalosis means the vent setting may be too? - Correct Answer-
High
In a vented client respiratory acidosis means the vent may be too? - Correct Answer- Low
What do you do if the patients disconnected tube is on the floor? - Correct Answer- Bag
them, (call for help) get new tube and then reconnect.
What do you do if the patients disconnected tube is on the chest? - Correct Answer-
Reconnect ... if its above the waist its ok.
,What is the biggest problem in abuse? - Correct Answer- Denial
To treat denial you need to? - Correct Answer- Confront
How do you confront? - Correct Answer- Point out the difference between what they say and
what they do.
What is the one circumstance that you as a nurse would support denial? - Correct Answer-
Loss and Grief
What is dependency? - Correct Answer- When the abuser gets a significant other so make
decisions for them or do thing for them.
What is codependency? - Correct Answer- When the significant other gets positive self
esteem from doing things or making decisions for an abuser.
To treat dependency/codependency you ? - Correct Answer- Set limits and enforce them. You
also need to work or the self estreem of the codependent.
What is manipulation? - Correct Answer- When the abuser gets the significant other fo do
things for them that is not in the best interest of the significant other. This can be dangerous
and harmful to the significant other.
How do you treat manipulation? - Correct Answer- Set limits and enforce.
Why is manipulation easier to treat then dependency/codependency? - Correct Answer-
Because no one likes being manipulated.
What is Wernickes (Korsakoffs) Syndrome? - Correct Answer- Psychosis induced by vitamin
B1 (Thiamine) deficiency.
Vitamin B1 helps breakdown? - Correct Answer- Alcohol
, Primary symptom of Wernickes? - Correct Answer- Amnesia with confabulation (making up
stories).
Is Wernickes preventable? - Correct Answer- Yes
Is Wernickes arrestable? - Correct Answer- Yes
Is Wernickes reversible? - Correct Answer- No
What is aversion therapy? - Correct Answer- When you try and make the patient hate
something.
Antabuse onset and duration is? - Correct Answer- 2 weeks
Teach a patient taking Antabuse to avoid what? - Correct Answer- Alochol
On top of alcohol a patient taking Antabuse should also avoid what other 7 things? - Correct
Answer- Elixirs, Vanilla Extract, Aftershave/Perfumes, Alcohol based hand sanitizer, Insect
repellant, Mouthwash and Vinagerette.
What are the five uppers? - Correct Answer- Caffeine, Cocaine, Methamphetamines,
PCP/LSD and ADHD Meds
Downers are? - Correct Answer- Everything other then the five uppers.
S/S of upper use? - Correct Answer- Everything goes up...Tachycardia, increased BP etc.
S/S of downer use? - Correct Answer- Everything goes down...Bradycardia, decreased BP
etc.
Overdose of a downer causes everything to go? - Correct Answer- Down
Exam Questions and CORRECT Answers
If the pH and the BiCarb are both in the same direction then it is? - Correct Answer-
Metabolic
If the pH is up it is? - Correct Answer- Alkalosis
If the pH is down it is? - Correct Answer- Acidosis
As the pH goes so goes my patient except for? - Correct Answer- Potassium
If the pH is up my patient with show signs and symptoms of? - Correct Answer- Increase...
like tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs and symtoms of? - Correct Answer- Decrease...
like decreased output, bradycardia and constipation
If my pH is up my potassium (K+) is ? - Correct Answer- Down
If my pH is down my potassium (K+) is? - Correct Answer- Up
If my patient is overventilating I should choose? - Correct Answer- Respiratory Alkalosis
If my patient is underventilating I should choose? - Correct Answer- Respiratory Acidosis
If my patient has prolonged gastric vomiting or suction I choose? - Correct Answer-
Metabolic Alkalosis
If it is not lung or prolonged vomiting or suctioning I choose? - Correct Answer- Metabolic
Acidosis
,High pressure alarms are triggered when? - Correct Answer- They cannot push air in
High pressure alarms are caused by what three types of obstructions? - Correct Answer-
Kinking, Water in dependant loops and mucus in the airway.
If kinking in the tube is present you? - Correct Answer- Unkink
If water is present in the dependant loops you? - Correct Answer- Open system and empty
water.
If mucus is present you? - Correct Answer- Turn them, cough and have them deeo breath
first. If ineffective you then suction.
Low pressure alarms are triggered when? - Correct Answer- It is to easy to push air in.
Low pressure alarms are normally caused by? - Correct Answer- Disconnection
If the tubing is disconnected you? - Correct Answer- Reconnect
If O2 sensor line is disconnected you? - Correct Answer- Reconnect
In a vented client respiratory alkalosis means the vent setting may be too? - Correct Answer-
High
In a vented client respiratory acidosis means the vent may be too? - Correct Answer- Low
What do you do if the patients disconnected tube is on the floor? - Correct Answer- Bag
them, (call for help) get new tube and then reconnect.
What do you do if the patients disconnected tube is on the chest? - Correct Answer-
Reconnect ... if its above the waist its ok.
,What is the biggest problem in abuse? - Correct Answer- Denial
To treat denial you need to? - Correct Answer- Confront
How do you confront? - Correct Answer- Point out the difference between what they say and
what they do.
What is the one circumstance that you as a nurse would support denial? - Correct Answer-
Loss and Grief
What is dependency? - Correct Answer- When the abuser gets a significant other so make
decisions for them or do thing for them.
What is codependency? - Correct Answer- When the significant other gets positive self
esteem from doing things or making decisions for an abuser.
To treat dependency/codependency you ? - Correct Answer- Set limits and enforce them. You
also need to work or the self estreem of the codependent.
What is manipulation? - Correct Answer- When the abuser gets the significant other fo do
things for them that is not in the best interest of the significant other. This can be dangerous
and harmful to the significant other.
How do you treat manipulation? - Correct Answer- Set limits and enforce.
Why is manipulation easier to treat then dependency/codependency? - Correct Answer-
Because no one likes being manipulated.
What is Wernickes (Korsakoffs) Syndrome? - Correct Answer- Psychosis induced by vitamin
B1 (Thiamine) deficiency.
Vitamin B1 helps breakdown? - Correct Answer- Alcohol
, Primary symptom of Wernickes? - Correct Answer- Amnesia with confabulation (making up
stories).
Is Wernickes preventable? - Correct Answer- Yes
Is Wernickes arrestable? - Correct Answer- Yes
Is Wernickes reversible? - Correct Answer- No
What is aversion therapy? - Correct Answer- When you try and make the patient hate
something.
Antabuse onset and duration is? - Correct Answer- 2 weeks
Teach a patient taking Antabuse to avoid what? - Correct Answer- Alochol
On top of alcohol a patient taking Antabuse should also avoid what other 7 things? - Correct
Answer- Elixirs, Vanilla Extract, Aftershave/Perfumes, Alcohol based hand sanitizer, Insect
repellant, Mouthwash and Vinagerette.
What are the five uppers? - Correct Answer- Caffeine, Cocaine, Methamphetamines,
PCP/LSD and ADHD Meds
Downers are? - Correct Answer- Everything other then the five uppers.
S/S of upper use? - Correct Answer- Everything goes up...Tachycardia, increased BP etc.
S/S of downer use? - Correct Answer- Everything goes down...Bradycardia, decreased BP
etc.
Overdose of a downer causes everything to go? - Correct Answer- Down
