NR 324 Exam 1 Questions with Correct
Answers
Causes of respiratory acidosis - ANSWERSHypoventilation, bradypnea, low RR
Causes of respiratory alkalosis - ANSWERSHyperventilation, tachypnea, high RR
Causes of metabolic acidosis - ANSWERSDiarrhea
Causes of metabolic alkalosis - ANSWERSNausea, vomiting
Isotonic Solutions - ANSWERS1/2 NS
Hyperkalemia - ANSWERS> 5.0 THINK CARDIAC
Cause: Renal compromised, PTH abnormalities
S/S: Arrythmias, palpations, parasthesias (numbness & tingling)
Interventions: EKG, widening QRS, do not feed potassium
Hypokalemia - ANSWERS< 3.5 CARDIAC
Cause: Low excretion by kidneys
S/S: Parasthesias, arrythmias
Interventions: EKG
Hypernatremia - ANSWERS> 145 NEURO
Treat the underlying cause
S/S: Skin flushed, agitation, low grade fever, THIRST
Interventions: Check neuro status, low sodium diet
Hyponatremia - ANSWERS< 135 NEURO
S/S: Lethargy, CONFUSION, irritability, HA, seizure, coma
NEVER GIVE A CARDIAC PT SODIUM NO MATTER WHAT
Hypercalcemia - ANSWERS> 10.2 BONES, CARDIAC, NERVE IMPULSES, BLOOD
CLOTTING
S/S: Depressed reflexes
Interventions: Increase fluids, loop diuretics,
Hypocalcemia - ANSWERS< 8.6 BONES, CARDIAC
S/S: Hyperactive reflexes, Chvostek's & Trousseau's
Interventions: Check reflexes, replace Ca
Hypermagnesia - ANSWERS> 2.5
S/S: Lethargy, N/V, drowsiness, depression
Answers
Causes of respiratory acidosis - ANSWERSHypoventilation, bradypnea, low RR
Causes of respiratory alkalosis - ANSWERSHyperventilation, tachypnea, high RR
Causes of metabolic acidosis - ANSWERSDiarrhea
Causes of metabolic alkalosis - ANSWERSNausea, vomiting
Isotonic Solutions - ANSWERS1/2 NS
Hyperkalemia - ANSWERS> 5.0 THINK CARDIAC
Cause: Renal compromised, PTH abnormalities
S/S: Arrythmias, palpations, parasthesias (numbness & tingling)
Interventions: EKG, widening QRS, do not feed potassium
Hypokalemia - ANSWERS< 3.5 CARDIAC
Cause: Low excretion by kidneys
S/S: Parasthesias, arrythmias
Interventions: EKG
Hypernatremia - ANSWERS> 145 NEURO
Treat the underlying cause
S/S: Skin flushed, agitation, low grade fever, THIRST
Interventions: Check neuro status, low sodium diet
Hyponatremia - ANSWERS< 135 NEURO
S/S: Lethargy, CONFUSION, irritability, HA, seizure, coma
NEVER GIVE A CARDIAC PT SODIUM NO MATTER WHAT
Hypercalcemia - ANSWERS> 10.2 BONES, CARDIAC, NERVE IMPULSES, BLOOD
CLOTTING
S/S: Depressed reflexes
Interventions: Increase fluids, loop diuretics,
Hypocalcemia - ANSWERS< 8.6 BONES, CARDIAC
S/S: Hyperactive reflexes, Chvostek's & Trousseau's
Interventions: Check reflexes, replace Ca
Hypermagnesia - ANSWERS> 2.5
S/S: Lethargy, N/V, drowsiness, depression
