©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 12:14 PM
NUR2392 Multidimensional Care II Exam 2
Questions And Answers 100% Pass.
Uncompensated - answer✔pH and one other value is abnormal
Partial compensation - answer✔pH, CO2, and HCO3 are all off
Full compensation - answer✔pH is normal
Acidosis - answer✔reduces the excitability of cardiovascular muscle, neurons, skeletal muscle,
and smooth muscle.
Alkalosis - answer✔increases the sensitivity of excitable tissues allowing them to
OVERRESPOND without stimulation
ABG considerations - answer✔- Assess cardiovascular w/ acidosis (cardiac arrest from
hyperkalemia)
- Assess neuro status
- Fall precautions
Bicarb HC03 - answer✔kidney compensation (slow and powerful)
Respiratory PaC02 - answer✔Respiratory compensation (fast but limited)
Metabolic acidosis causes - answer✔DKA, Starvation, diarrhea, kidney failure, dehydration,
liver failure, pancreatitis, heavy exercise, seizure activity, fever, hypoxia, ischemia,
ethanol/methanol intoxication
Metabolic acidosis signs and symptoms - answer✔bradycardia, hypotension, thready pulse, CNS
depression, hyporeflexia, kussmal resp (with resp compensation), warm, flushed, dry skin.
Metabolic acidosis treatment - answer✔hydration and medication to treat underlying problems
(DKA - give insulin).
, ©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 12:14 PM
Metabolic alkalosis causes - answer✔antacids, blood transfusion, sodium bicarbonate, total
parenteral nutrition (TPN), prolonged vomiting, nasogastric suctioning, hypercortisolism,
hyperaldosteronism, Loop/Thiazide diuretics.
Metabolic Alkalosis s/s - answer✔anxiety, irritability, tetany, seizures, POSITIVE CHVOSTEK,
POSITIVE TROUSSEAU, parathesis, hyperreflexia, muscle cramping/twitching, skeletal muscle
weakness, Tachycardia, norm/low BP, increased Digoxin toxicity, decreased respiratory effort
(muscle weakness).
metabolic alkalosis treatment - answer✔restore fluid/electrolyte imbalances
Respiratory acidosis cause - answer✔Opioids, anesthetics, electrolyte imbalance, inadequate
chest expansion, muscle weakness, airway obstruction, alveolar-capillary block.
Respiratory acidosis s/s - answer✔bradycardia, hypotension, thready pulse, CNS depression,
hyporeflexia, ineffective respirations, pale-to-cyanotic dry skin.
Respiratory acidosis treatment - answer✔(Assess airway) Improve gas exchange, drug therapy
(bronchodilators, anti-inflammatory), oxygen therapy (lowest flow possible), ventilation.
Respiratory alkalosis cause - answer✔Hyperventilation (fear, anxiety), mechanical ventilation,
salicylate toxicity, high altitudes, early-stage acute pulmonary issues.
respiratory alkalosis s/s - answer✔anxiety, irritability, tetany, seizures, POSITIVE CHVOSTEK,
POSITIVE TROUSSEAU (hypocalcemia), parathesis, hyperreflexia, muscle
cramping/twitching, skeletal muscle weakness, Tachycardia, norm/low BP, increased Digoxin
toxicity, hyperventilation
respiratory alkalosis treatment - answer✔restore fluid/electrolyte imbalances
How do acid/base imbalances affect electrolytes - answer✔- Potassium levels increase in
acidosis as the body attempts to maintain electroneutrality during buffering.
- Potassium is elevated in acute respiratory acidosis and normal/low in chronic respiratory
acidosis when kidney compensation is present
- Alkalosis = hypocalcemia and hypokalemia
- Acidosis = HYPERkalemia
alkalosis - answer✔hypocalcemia and hypokalemia
acidosis - answer✔HYPERkalemia
Upper GI consists of - answer✔mouth, pharynx, esophagus, stomach, and duodenum.
10/22/2024 12:14 PM
NUR2392 Multidimensional Care II Exam 2
Questions And Answers 100% Pass.
Uncompensated - answer✔pH and one other value is abnormal
Partial compensation - answer✔pH, CO2, and HCO3 are all off
Full compensation - answer✔pH is normal
Acidosis - answer✔reduces the excitability of cardiovascular muscle, neurons, skeletal muscle,
and smooth muscle.
Alkalosis - answer✔increases the sensitivity of excitable tissues allowing them to
OVERRESPOND without stimulation
ABG considerations - answer✔- Assess cardiovascular w/ acidosis (cardiac arrest from
hyperkalemia)
- Assess neuro status
- Fall precautions
Bicarb HC03 - answer✔kidney compensation (slow and powerful)
Respiratory PaC02 - answer✔Respiratory compensation (fast but limited)
Metabolic acidosis causes - answer✔DKA, Starvation, diarrhea, kidney failure, dehydration,
liver failure, pancreatitis, heavy exercise, seizure activity, fever, hypoxia, ischemia,
ethanol/methanol intoxication
Metabolic acidosis signs and symptoms - answer✔bradycardia, hypotension, thready pulse, CNS
depression, hyporeflexia, kussmal resp (with resp compensation), warm, flushed, dry skin.
Metabolic acidosis treatment - answer✔hydration and medication to treat underlying problems
(DKA - give insulin).
, ©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 12:14 PM
Metabolic alkalosis causes - answer✔antacids, blood transfusion, sodium bicarbonate, total
parenteral nutrition (TPN), prolonged vomiting, nasogastric suctioning, hypercortisolism,
hyperaldosteronism, Loop/Thiazide diuretics.
Metabolic Alkalosis s/s - answer✔anxiety, irritability, tetany, seizures, POSITIVE CHVOSTEK,
POSITIVE TROUSSEAU, parathesis, hyperreflexia, muscle cramping/twitching, skeletal muscle
weakness, Tachycardia, norm/low BP, increased Digoxin toxicity, decreased respiratory effort
(muscle weakness).
metabolic alkalosis treatment - answer✔restore fluid/electrolyte imbalances
Respiratory acidosis cause - answer✔Opioids, anesthetics, electrolyte imbalance, inadequate
chest expansion, muscle weakness, airway obstruction, alveolar-capillary block.
Respiratory acidosis s/s - answer✔bradycardia, hypotension, thready pulse, CNS depression,
hyporeflexia, ineffective respirations, pale-to-cyanotic dry skin.
Respiratory acidosis treatment - answer✔(Assess airway) Improve gas exchange, drug therapy
(bronchodilators, anti-inflammatory), oxygen therapy (lowest flow possible), ventilation.
Respiratory alkalosis cause - answer✔Hyperventilation (fear, anxiety), mechanical ventilation,
salicylate toxicity, high altitudes, early-stage acute pulmonary issues.
respiratory alkalosis s/s - answer✔anxiety, irritability, tetany, seizures, POSITIVE CHVOSTEK,
POSITIVE TROUSSEAU (hypocalcemia), parathesis, hyperreflexia, muscle
cramping/twitching, skeletal muscle weakness, Tachycardia, norm/low BP, increased Digoxin
toxicity, hyperventilation
respiratory alkalosis treatment - answer✔restore fluid/electrolyte imbalances
How do acid/base imbalances affect electrolytes - answer✔- Potassium levels increase in
acidosis as the body attempts to maintain electroneutrality during buffering.
- Potassium is elevated in acute respiratory acidosis and normal/low in chronic respiratory
acidosis when kidney compensation is present
- Alkalosis = hypocalcemia and hypokalemia
- Acidosis = HYPERkalemia
alkalosis - answer✔hypocalcemia and hypokalemia
acidosis - answer✔HYPERkalemia
Upper GI consists of - answer✔mouth, pharynx, esophagus, stomach, and duodenum.
