WGU D236 Patho Study Guide || 100% Detailed Answers.
Pressure that is due to albumin in the bloodstream? correct answers Oncotic
Oncotic correct answers a form of osmotic pressure exerted by proteins
In the blood, _____ is the most common plasma protein and is, therefore, a primary determinant
of oncotic pressure correct answers albumin
_____ controls osmotic pressure in vascular system, builds volume correct answers Albumin
One question was about the difference in children and adult immunity correct answers Possible
answer: naive T cells
Learning check question: Which differences in immunity make children and older adult patients
more susceptible to infections? Choose 2 answers
Younger patients have fewer memory cells to combat infection
Older adult patients have a dwindling population of naive T cells
Older adult patients have more memory cells to combat infection
Younger patients have a large population of naive T cells
Older adult patients have a large population of naive T cells correct answers Younger patients
have fewer memory cells to combat infection
,Older adult patients have a dwindling population of naive T cells
Rationale: younger patients have not been exposed to many pathogens, which means that they
have fewer memory cells than adults. The primary immune response is relatively weak compared
to a secondary response mediated by memory cells.
Older adult patients do not have as many T cells compared to younger patients. When these
patients encounter novel pathogens, the reduced number of naive T cells gives clonal selection
fewer opportunities to "find" T cells that will be effective.
Fluid and electrolyte levels are regulated by _______, which regulates actions such as thirst,
ADH, the kidneys, and RAAS. correct answers osmoreceptors
Fluid deficit causes correct answers -Excessive loss
-Inadequate intake
-Or combination of both
Fluid deficit risk factors correct answers -Vomiting/diarrhea
-Excessive sweating
-Insufficient water intake
Fluid deficit manifestations correct answers -dry mucous membranes
-decreased skin turgor
-decreased urine output
-low blood pressure
-tachycardia
-confusion
ROME for ABGs correct answers Respiratory Opposite Metabolic Equal
,If pH and pCO2 are moving in opposite directions, then it is pCO2 levels that are causing the
imbalance and it is respiratory in nature
If they are moving the same direction then it is metabolic in nature
Buffers, renal compensation, and respiratory compensation help to maintain a blood pH of
_______ correct answers 7.35-7.45
A patient with a viral illness and severe vomiting has an elevated CO2 level and a blood pH of
7.53. She is breathing slowly. What condition does the patient have?
Metabolic alkalosis
Metabolic acidosis
Respiratory alkalosis
Respiratory acidosis correct answers Metabolic alkalosis
The patient's pH and CO2 level are both elevating (moving in the same direction). This indicates
metabolic alkalosis. The CO2 level is high because her respiratory system is attempting to
compensate for the high pH by exhaling less and retaining more CO2
To prevent changes in pH, the body employs buffer systems. The body utilizes 3 buffer systems:
correct answers proteins, phosphates, and the carbonic acid-bicarbonate system
Carbonic acid-bicarbonate system first line of defense is _____, second line of defense is _____
correct answers respirations; kidneys
Carbonic acid-bicarbonate system equation correct answers The equation moves in both
directions
CABS Equation:
, When CO2 levels are elevated, the equation moves ________, forming more H+ and HCO3-
ions correct answers toward the right
CABS Equation:
When H+ ions are elevated, the equation moves _____, as H+ ions are converted to CO2 and the
CO2 is exhaled. correct answers toward the left
CO2 levels correct answers 35-45
HCO3 levels correct answers 22-26
Michael's pulmonary edema leads to respiratory acidosis. How does pH impact Michael's basal
metabolic panel? Choose 3 answers.
His CO2 level is increased because his lungs have difficulty removing it from the bloodstream.
His K+ is elevated because, as H+ moves inside of cells in an attempt to get it out of the
bloodstream, K+ moves from cells into the bloodstream.
His sodium level is decreased due to hypervolemia.
His calcium level is reduced because the elevated concentration of H+ makes it easier for Ca+ to
bind to albumin.
His CO2 level is decreased because his lungs have difficulty adding it into the bloodstream
correct answers His CO2 level is increased because his lungs have difficulty removing it from
the bloodstream.
His K+ is elevated because, as H+ moves inside of cells in an attempt to get it out of the
bloodstream, K+ moves from cells into the bloodstream.
Pressure that is due to albumin in the bloodstream? correct answers Oncotic
Oncotic correct answers a form of osmotic pressure exerted by proteins
In the blood, _____ is the most common plasma protein and is, therefore, a primary determinant
of oncotic pressure correct answers albumin
_____ controls osmotic pressure in vascular system, builds volume correct answers Albumin
One question was about the difference in children and adult immunity correct answers Possible
answer: naive T cells
Learning check question: Which differences in immunity make children and older adult patients
more susceptible to infections? Choose 2 answers
Younger patients have fewer memory cells to combat infection
Older adult patients have a dwindling population of naive T cells
Older adult patients have more memory cells to combat infection
Younger patients have a large population of naive T cells
Older adult patients have a large population of naive T cells correct answers Younger patients
have fewer memory cells to combat infection
,Older adult patients have a dwindling population of naive T cells
Rationale: younger patients have not been exposed to many pathogens, which means that they
have fewer memory cells than adults. The primary immune response is relatively weak compared
to a secondary response mediated by memory cells.
Older adult patients do not have as many T cells compared to younger patients. When these
patients encounter novel pathogens, the reduced number of naive T cells gives clonal selection
fewer opportunities to "find" T cells that will be effective.
Fluid and electrolyte levels are regulated by _______, which regulates actions such as thirst,
ADH, the kidneys, and RAAS. correct answers osmoreceptors
Fluid deficit causes correct answers -Excessive loss
-Inadequate intake
-Or combination of both
Fluid deficit risk factors correct answers -Vomiting/diarrhea
-Excessive sweating
-Insufficient water intake
Fluid deficit manifestations correct answers -dry mucous membranes
-decreased skin turgor
-decreased urine output
-low blood pressure
-tachycardia
-confusion
ROME for ABGs correct answers Respiratory Opposite Metabolic Equal
,If pH and pCO2 are moving in opposite directions, then it is pCO2 levels that are causing the
imbalance and it is respiratory in nature
If they are moving the same direction then it is metabolic in nature
Buffers, renal compensation, and respiratory compensation help to maintain a blood pH of
_______ correct answers 7.35-7.45
A patient with a viral illness and severe vomiting has an elevated CO2 level and a blood pH of
7.53. She is breathing slowly. What condition does the patient have?
Metabolic alkalosis
Metabolic acidosis
Respiratory alkalosis
Respiratory acidosis correct answers Metabolic alkalosis
The patient's pH and CO2 level are both elevating (moving in the same direction). This indicates
metabolic alkalosis. The CO2 level is high because her respiratory system is attempting to
compensate for the high pH by exhaling less and retaining more CO2
To prevent changes in pH, the body employs buffer systems. The body utilizes 3 buffer systems:
correct answers proteins, phosphates, and the carbonic acid-bicarbonate system
Carbonic acid-bicarbonate system first line of defense is _____, second line of defense is _____
correct answers respirations; kidneys
Carbonic acid-bicarbonate system equation correct answers The equation moves in both
directions
CABS Equation:
, When CO2 levels are elevated, the equation moves ________, forming more H+ and HCO3-
ions correct answers toward the right
CABS Equation:
When H+ ions are elevated, the equation moves _____, as H+ ions are converted to CO2 and the
CO2 is exhaled. correct answers toward the left
CO2 levels correct answers 35-45
HCO3 levels correct answers 22-26
Michael's pulmonary edema leads to respiratory acidosis. How does pH impact Michael's basal
metabolic panel? Choose 3 answers.
His CO2 level is increased because his lungs have difficulty removing it from the bloodstream.
His K+ is elevated because, as H+ moves inside of cells in an attempt to get it out of the
bloodstream, K+ moves from cells into the bloodstream.
His sodium level is decreased due to hypervolemia.
His calcium level is reduced because the elevated concentration of H+ makes it easier for Ca+ to
bind to albumin.
His CO2 level is decreased because his lungs have difficulty adding it into the bloodstream
correct answers His CO2 level is increased because his lungs have difficulty removing it from
the bloodstream.
His K+ is elevated because, as H+ moves inside of cells in an attempt to get it out of the
bloodstream, K+ moves from cells into the bloodstream.
