Mark Klimek NCLEX Review Lecture/Yellow Book Exam Questions With 100% Correct Answers

Mark Klimek NCLEX Review Lecture/Yellow Book Exam Questions With 100% Correct Answers Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is meta_____ - answerpH, Bicarb, Both, Bolic pH 7.30_______ HCO3 20_______ - answer↓= acidosis; ↓= metabolic pH 7.58_______ HCO3 32_______ - answer↑= alkalosis; ↑= metabolic pH 7.22_______ HCO3 30_______ - answer↓= acidosis; ↑= respiratory You are providing care to a client with the following blood gas results: pH 7.32, CO2 49, HCO3 29, PO2 80, and SaO2 90%. Based on these results, the client is experiencing: - answer↓= acidosis; ↑= respiratory MacKussmaul - answerThe only acid base to cause Kussmaul respirations is Metabolic ACidosis As the _______ goes, so goes _______ except for _______ - answerpH, my patient, Potassium Up - answerhyokalemia, alkalosis, HTN, Tachycardia, Tachypnea, Seizures, Irritability, Spastic, Diarrhea, Borborygme, hyperreflexia, etc Down - answerhyperkalemia, acidosis, htn, bradycardia, constipation, absent bowel sounds, flacid, bradypnea Causes of acid-base imbalances: First ask yourself, "Is it _______?" If yes, then it's _______. Then ask yourself: "Are they _______ or _______. If _______, pick _______. If _______, pick _______ - answerlung, respiratory, overventilating, underventilating, overventilating, alkalosis, underventilating, acidosis Causes of acid-base imbalances: If it's not lung, then it's _______. If the patient has _______ _______ vomiting or suction, pick _______. For everything else that isn't lung, pick _______ _______. When you don't know what to pick, choose _______ _______ - answermetabolic, prolonged gastric, alkalosis, metabolic acidosis, metabolic acidosis High pressure alarms are triggered by _______ resistance to air flow. - answerincreased High pressure alarms are triggered by increased resistance to airflow and can be caused by obstructions of three types: _______ action, _______ action, _______ action - answer(kinked tube) unkink, (water in tube) empty, (mucus in airway) cough and deep breathe Low pressure alarms are triggered by _______ resistance to airflow. - answerdecreased Low pressure alarms are triggered by decreased resistance to airflow and can be caused by disconnections of the _______ or _______ - answertubing (reconnect it), oxygen sensor tube (reconnect it UNLESS tube is on the floor- bag them and call RT if this happens) Respiratory alkalosis means ventilator settings may be too _______ - answerhigh Respiratory acidosis means ventilator settings may be too _______ - answerlow What does "wean" mean? - answergradually decrease with the goal of getting off altogether What is Maslow's highest priority to lowest priority? - answer1. Physiological 2. Safety 3. Comfort 4. Psychological (problems within the person) 5. Social (problems with other people) 6. Spiritual Arrange from highest to lowest priority using Maslow's: Denial Spiritual Distress Pain in Elbow Fall Risk Pathological Family Dynamics Electrolyte Imbalance - answerElectrolyte Imbalance (Physiological) Fall Risk (Safety) Pain in Elbow (Comfort) Denial (Psychological) Pathological Family Dynamics (Social) Spiritual Distress (Spiritual)