NUR 2755 Final Exam (Multidimensional
Care IV / MDC 4 - Rasmussen
What is the normal pH of blood? - ANSWER>>7.35-7.45
What is the normal PaCO2 level? - ANSWER>>35-45
What is the normal HCO3 (bicarbonate) level? - ANSWER>>22-26
What acid-base imbalance would a client experiencing an asthma attack be at risk for? -
ANSWER>>Respiratory Acidosis
What types of triggers can cause HHS or DKA? - ANSWER>>Trauma, Injury, or Infection
Define Green peak flow zone. - ANSWER>>80-100% of clients personal best
Define Yellow peak flow zone. - ANSWER>>50-79% of the clients personal best
Define Red peak flow zone. - ANSWER>>Below 50% of clients personal best
What is the purpose of a spacer with an MDI? - ANSWER>>To increase dosage administered for
a better therapeutic effect
What long-term asthma medication puts a client at risk for thrush? - ANSWER>>Inhaled
corticosteroids
What is the pathophysiology of an asthma attack? - ANSWER>>A trigger irritates the immune
response, bronchiole becomes inflamed and smooth muscle constricts, mucous secretions
narrow the airway
Multiple episodes of vomiting would lead to which acid-base imbalance? - ANSWER>>Metabolic
Alkalosis
What would the nurse advise against for foot care of a client with diabetes? - ANSWER>>Hot
water, clipping nails to the skin, and lotion between the toes
, What nursing education would you provide to a client with asthma and current peak flow
reading in the yellow zone? - ANSWER>>Take your rescue inhaler and then recheck peak flow
What is the priority action with someone admitted with severely elevated glucose levels? -
ANSWER>>Fluid Replacement
What is the pathophysiology of dumping syndrome? - ANSWER>>Food quickly fills the small
intestine releasing digestive enzymes which then triggers a huge influx of insulin putting the
client into hypoglycemia
What are the three short-acting asthma medications? - ANSWER>>Bronchodilators - Albuterol,
Anticholinergics - Ipartropium, IV Corticosteroids - Methylprednisone
What complication should the nurse assess for in a client taking a sulfonylurea medication? -
ANSWER>>Hypoglycemia
What type of insulin can not be mixed with other insulins? - ANSWER>>Long-acting (glargine)
What is the most common side effect of the beta agonists? - ANSWER>>Tachycardia - Other
symptoms include muscle tremors, anxiety, and palpitations
How many lbs a week is recommended in weight loss? - ANSWER>>1-2 lbs
What are the 5 criteria for metabolic syndrome? - ANSWER>>Hypertension, Low HDL, High LDL,
Increased waist circumference, Increased fasting blood glucose
What pain medication is contraindicated for a client after bariatric surgery? - ANSWER>>NSAIDs
or Ibuprofen
What are the 3 P's of diabetes mellitus? - ANSWER>>polyuria, polydipsia, polyphagia
Obesity starts at what BMI? - ANSWER>>30
What is the fetal risk related to gestational diabetes? - ANSWER>>Macrosomia and shoulder
dystocia (shoulder getting stuck)
What test result reflects the average blood glucose over 3 months? - ANSWER>>Hemoglobin
A1c
Care IV / MDC 4 - Rasmussen
What is the normal pH of blood? - ANSWER>>7.35-7.45
What is the normal PaCO2 level? - ANSWER>>35-45
What is the normal HCO3 (bicarbonate) level? - ANSWER>>22-26
What acid-base imbalance would a client experiencing an asthma attack be at risk for? -
ANSWER>>Respiratory Acidosis
What types of triggers can cause HHS or DKA? - ANSWER>>Trauma, Injury, or Infection
Define Green peak flow zone. - ANSWER>>80-100% of clients personal best
Define Yellow peak flow zone. - ANSWER>>50-79% of the clients personal best
Define Red peak flow zone. - ANSWER>>Below 50% of clients personal best
What is the purpose of a spacer with an MDI? - ANSWER>>To increase dosage administered for
a better therapeutic effect
What long-term asthma medication puts a client at risk for thrush? - ANSWER>>Inhaled
corticosteroids
What is the pathophysiology of an asthma attack? - ANSWER>>A trigger irritates the immune
response, bronchiole becomes inflamed and smooth muscle constricts, mucous secretions
narrow the airway
Multiple episodes of vomiting would lead to which acid-base imbalance? - ANSWER>>Metabolic
Alkalosis
What would the nurse advise against for foot care of a client with diabetes? - ANSWER>>Hot
water, clipping nails to the skin, and lotion between the toes
, What nursing education would you provide to a client with asthma and current peak flow
reading in the yellow zone? - ANSWER>>Take your rescue inhaler and then recheck peak flow
What is the priority action with someone admitted with severely elevated glucose levels? -
ANSWER>>Fluid Replacement
What is the pathophysiology of dumping syndrome? - ANSWER>>Food quickly fills the small
intestine releasing digestive enzymes which then triggers a huge influx of insulin putting the
client into hypoglycemia
What are the three short-acting asthma medications? - ANSWER>>Bronchodilators - Albuterol,
Anticholinergics - Ipartropium, IV Corticosteroids - Methylprednisone
What complication should the nurse assess for in a client taking a sulfonylurea medication? -
ANSWER>>Hypoglycemia
What type of insulin can not be mixed with other insulins? - ANSWER>>Long-acting (glargine)
What is the most common side effect of the beta agonists? - ANSWER>>Tachycardia - Other
symptoms include muscle tremors, anxiety, and palpitations
How many lbs a week is recommended in weight loss? - ANSWER>>1-2 lbs
What are the 5 criteria for metabolic syndrome? - ANSWER>>Hypertension, Low HDL, High LDL,
Increased waist circumference, Increased fasting blood glucose
What pain medication is contraindicated for a client after bariatric surgery? - ANSWER>>NSAIDs
or Ibuprofen
What are the 3 P's of diabetes mellitus? - ANSWER>>polyuria, polydipsia, polyphagia
Obesity starts at what BMI? - ANSWER>>30
What is the fetal risk related to gestational diabetes? - ANSWER>>Macrosomia and shoulder
dystocia (shoulder getting stuck)
What test result reflects the average blood glucose over 3 months? - ANSWER>>Hemoglobin
A1c
