NURS 2873 Final Exam With
Complete Solution
Which Dysrhythmia?
-Fibrillatory waves
-PR not measurable
-Normal QRS (usually)
-350-600 bpm
-Ventricular more or less than 100 bpm + irregular
-Increased risk for stroke - ANSWER Atrial Fibrillation
How to determine the number of victims a hospital can expect during a mass
casualty? - ANSWER Double the number of victims that arrive in the 1st hr
How long should it take to assess a patient during a mass casualty
emergency? - ANSWER 15 seconds
Community Emergency Response Teams (CERTS) - ANSWER Citizens are
taught what to expect after a disaster and how to safely help
COPD symptoms - ANSWER -Chronic Cough (1st symptom)
-Dyspnea on exertion
-Chest tightness
-Air hunger
,-Increased effort to breathe
-Changed behaviors (using elevator instead of stairs)
-Chest breather (late COPD)
-Fatigue
-Weight Loss
COPD Complication - ANSWER Cor Pulmonale
Most common symptom of cor pulmonale? - ANSWER Dyspnea
What is the predictor of a poor prognosis of COPD? - ANSWER weight loss
How much oxygen can a patient with COPD tolerate? - ANSWER 2 L/min NC
Patient education/Health promotion of COPD - ANSWER -Stop smoking
-Flu + Pneumonia vaccines
-Make a schedule to space out activites
-Use email + texting when there is difficulty breathing (SOB)
Calcium lab value - ANSWER 8.6-10.5
Which Acid-Base Balance will you need to calculate the anion gap? - ANSWER
Metabolic Acidosis
What is the respiratory compensation symptom during metabolic acidosis? -
ANSWER Kussmaul breathing (Respiratory Alkalosis- Increased RR)
Symptoms of Respiratory Acidosis - ANSWER -Warm + flushed skin
-V. FIB (HYPERKALEMIA)
,-Seizures
-Hypoventilation w/ hypoxia
metabolic acidosis s/s - ANSWER -Dysrhythmias (hyperkalemia)
-Cold + clammy skin
-N/V/D
-Muscle weakness
-Deep respirations
-Ab pain
Respiratory Alkalosis S/S - ANSWER -Dizzy
-Lightheaded
-N/V/D
-Epigastric pain
-Tingling of extremities
-numbness
-Hyperventilation
-Hyperreflexia
metabolic alkalosis s/s - ANSWER -Irritable
-Lethargy
-N/V
-Anorexia
, -Tingling of fingers + Toes
-Tremors
-Muscle cramps/hypertonic muscles
-Hypoventilation
What Acid-Base Balance is this?
pH: More than 7.45
PaCO2: Less than 35 - ANSWER Respiratory Alkalosis
What Acid-Base Balance is this?
pH: Less than 7.35
PaCO2: More than 45 - ANSWER Respiratory Acidosis
What Acid-Base Balance is this?
pH: More than 7.45
PaCO2: is increased or normal
HCO3: above 26 - ANSWER Metabolic Alkalosis
What Acid-Base Balance is this?
pH: Less than 7.35
PaCO2: is decreased or normal
HCO3: less than 22 - ANSWER Metabolic Acidosis
Complete Solution
Which Dysrhythmia?
-Fibrillatory waves
-PR not measurable
-Normal QRS (usually)
-350-600 bpm
-Ventricular more or less than 100 bpm + irregular
-Increased risk for stroke - ANSWER Atrial Fibrillation
How to determine the number of victims a hospital can expect during a mass
casualty? - ANSWER Double the number of victims that arrive in the 1st hr
How long should it take to assess a patient during a mass casualty
emergency? - ANSWER 15 seconds
Community Emergency Response Teams (CERTS) - ANSWER Citizens are
taught what to expect after a disaster and how to safely help
COPD symptoms - ANSWER -Chronic Cough (1st symptom)
-Dyspnea on exertion
-Chest tightness
-Air hunger
,-Increased effort to breathe
-Changed behaviors (using elevator instead of stairs)
-Chest breather (late COPD)
-Fatigue
-Weight Loss
COPD Complication - ANSWER Cor Pulmonale
Most common symptom of cor pulmonale? - ANSWER Dyspnea
What is the predictor of a poor prognosis of COPD? - ANSWER weight loss
How much oxygen can a patient with COPD tolerate? - ANSWER 2 L/min NC
Patient education/Health promotion of COPD - ANSWER -Stop smoking
-Flu + Pneumonia vaccines
-Make a schedule to space out activites
-Use email + texting when there is difficulty breathing (SOB)
Calcium lab value - ANSWER 8.6-10.5
Which Acid-Base Balance will you need to calculate the anion gap? - ANSWER
Metabolic Acidosis
What is the respiratory compensation symptom during metabolic acidosis? -
ANSWER Kussmaul breathing (Respiratory Alkalosis- Increased RR)
Symptoms of Respiratory Acidosis - ANSWER -Warm + flushed skin
-V. FIB (HYPERKALEMIA)
,-Seizures
-Hypoventilation w/ hypoxia
metabolic acidosis s/s - ANSWER -Dysrhythmias (hyperkalemia)
-Cold + clammy skin
-N/V/D
-Muscle weakness
-Deep respirations
-Ab pain
Respiratory Alkalosis S/S - ANSWER -Dizzy
-Lightheaded
-N/V/D
-Epigastric pain
-Tingling of extremities
-numbness
-Hyperventilation
-Hyperreflexia
metabolic alkalosis s/s - ANSWER -Irritable
-Lethargy
-N/V
-Anorexia
, -Tingling of fingers + Toes
-Tremors
-Muscle cramps/hypertonic muscles
-Hypoventilation
What Acid-Base Balance is this?
pH: More than 7.45
PaCO2: Less than 35 - ANSWER Respiratory Alkalosis
What Acid-Base Balance is this?
pH: Less than 7.35
PaCO2: More than 45 - ANSWER Respiratory Acidosis
What Acid-Base Balance is this?
pH: More than 7.45
PaCO2: is increased or normal
HCO3: above 26 - ANSWER Metabolic Alkalosis
What Acid-Base Balance is this?
pH: Less than 7.35
PaCO2: is decreased or normal
HCO3: less than 22 - ANSWER Metabolic Acidosis
